Individual
AMY R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4141 N KEDZIE AVE STE 2, CHICAGO, IL 60618-2479
(773) 754-0577
Mailing address
4141 N KEDZIE AVE STE 2, CHICAGO, IL 60618-2479
(773) 754-0577
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.110914
IL
Other
Enumeration date
10/31/2025
Last updated
10/31/2025
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