Individual
CHANTAL M MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 S KARLOV AVE, CHICAGO, IL 60624-3521
(773) 255-2717
Mailing address
800 S KARLOV AVE, CHICAGO, IL 60624-3521
(773) 255-2717
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
04/02/2024
Last updated
04/02/2024
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