Organization
MARTIN N PAISNER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN N PAISNER M.D. (PRESIDENT)
(773) 975-0897
Entity
Organization
Contact information
Practice address
4840 N MARINE DR, CHICAGO, IL 60640-7860
(773) 975-0897
Mailing address
917 W FULLERTON AVE, CHICAGO, IL 60614-2406
(773) 975-0897
(773) 871-8690
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
10/24/2006
Last updated
08/22/2020
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