Individual
MRS. MICHELE MARIE MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
19326 BARON RD, MOKENA, IL 60448-9288
(708) 684-7045
(708) 684-7040
Mailing address
19326 BARON RD, MOKENA, IL 60448-9288
(708) 684-7045
(708) 684-7040
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
—
IL
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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