Individual
MARTA ANTONIV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
840 S WOOD ST, CHICAGO, IL 60612-4325
(312) 355-0104
Mailing address
71 CUSHING AVE, BOSTON, MA 02125-2486
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/25/2026
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