Individual
DIANE K MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1725 W HARRISON ST, SUITE 1159, CHICAGO, IL 60612-3841
(312) 942-5020
(312) 942-4039
Mailing address
1725 W HARRISON ST, SUITE 1159, CHICAGO, IL 60612-3841
(312) 942-5020
(312) 942-4039
Taxonomy
Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
209-005268
IL
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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