Individual
DR. MARTHA MARIA KACHMARYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2004 N PULASKI RD, CHICAGO, IL 60639-3767
(773) 772-8876
(773) 252-8091
Mailing address
2004 N PULASKI RD, CHICAGO, IL 60639-3767
(773) 772-8876
(773) 252-8091
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036092803
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004932263
BCBS NUMBER
IL
Enumeration date
01/18/2007
Last updated
10/02/2015
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