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Individual

DR. DANIEL EDWARD MARTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
111 W WASHINGTON ST STE 903, CHICAGO, IL 60602
(312) 372-9355
(312) 372-9356
Mailing address
PO BOX 160, MATTESON, IL 60443-0160
(708) 862-7674
(708) 862-1781

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146005915
IL

Other

Enumeration date
07/07/2009
Last updated
02/04/2019
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