Individual
MR. ADRIAN P MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
305 W JACKSON ST STE 206, CARBONDALE, IL 62901-1474
(618) 457-3006
(618) 457-3007
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036115702
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036115702
—
IL
01
—
120857
HEALTH ALLIANCE
IL
01
—
294010
HEALTHLINK
IL
01
—
324137
GHP
IL
01
—
3932056
BCBS OF IL
IL
01
—
7210895
AETNA
IL
Enumeration date
11/07/2006
Last updated
05/08/2025
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