De Martini, Tony Joe

De Martini, Tony Joe is an individual health care provider with primary practice located at 201 E Madison St , Springfield IL 62702-5131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. De Martini, Tony Joe can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
201 E Madison St Springfield IL 62702-5131
Phone: (217) 545-8000
Fax: (217) 545-7877
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036-098403 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036-098403 Illinois

Profile Details

NPI number 1174604631
LBN Legal business name De Martini, Tony Joe
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Apr 25th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174604631 NPPES
Illinois MEDICAID 036098403

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