Individual
DR. JONATHAN WILLIAM MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
600 S PAULINA ST, STE 140, CHICAGO, IL 60612-3806
(312) 942-5875
(312) 942-8200
Mailing address
600 S PAULINA ST, STE. 140, CHICAGO, IL 60612-3806
(312) 942-5865
(312) 942-8200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-137243
IL
207RI0200X
Infectious Disease Physician
Primary
035137243
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/22/2012
Last updated
04/27/2021
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