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Individual

DR. MARY M MARTINO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
1324 KETTERING RD, MUNDELEIN, IL 60060-5364
(847) 226-0267
Mailing address
1324 KETTERING RD, MUNDELEIN, IL 60060-5364
(847) 226-0267

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-004178
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
600-01724
BCBS OF ILLINOIS
IL
Enumeration date
12/09/2006
Last updated
04/24/2017
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