Individual
HANNAH JEAN MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(800) 543-7362
Mailing address
808 S CUYLER AVE, OAK PARK, IL 60304-1508
(937) 561-4132
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
12098891
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
2.9.029781
IL
Other
Enumeration date
02/08/2021
Last updated
06/29/2024
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