Individual
MARTHA DE SANTAIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNP
Contact information
Practice address
2412 W FULLERTON AVE, CHICAGO, IL 60647-7435
(773) 384-7977
(773) 451-8285
Mailing address
2412 W FULLERTON AVE, CHICAGO, IL 60647-7435
(773) 384-7977
(773) 451-8285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209014576
IL
363LF0000X
Family Nurse Practitioner
209.014576
IL
Other
Enumeration date
10/11/2016
Last updated
04/06/2026
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