Individual
DR. JOHN ALAN MARTINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5645 W ADDISON ST, OUR LADY OF THE RESURRECTION MEDICAL CENTER, CHICAGO, IL 60634-4403
(773) 794-7601
Mailing address
1275 W EARLY AVE, CHICAGO, IL 60660-3481
(312) 505-3376
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036117978
IL
Other
Enumeration date
05/22/2007
Last updated
08/16/2012
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