Individual
DR. JONGJIN ANNE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
415 N 9TH ST, SUITE 6W100, SPRINGFIELD, IL 62702-5303
(217) 545-8000
(217) 545-9217
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
(844) 470-2486
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-139490
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036139490
—
IL
Enumeration date
06/27/2012
Last updated
11/20/2025
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