Individual
MARLON MARTIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
219 W CHICAGO AVE STE 200, CHICAGO, IL 60654-5600
Mailing address
219 W. CHICAGO AVE, SUITE 200, CHICAGO, IL 60654
(872) 777-8110
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
11/14/2023
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