Individual
DR. ALICIA S MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Mailing address
1845 GRANDSTAND PL, ELGIN, IL 60123-6603
(847) 695-0484
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036069799
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2036069799
—
IL
Enumeration date
01/31/2007
Last updated
07/09/2007
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