Martin, Monica K
Martin, Monica K is an individual health care provider with primary practice located at 3825 Highland Ave Suite 5B, Downers Grove IL 60515-1552. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Martin, Monica K can be contacted via phone (630) 963-9667.Contact Information
Primary practice address
3825 Highland Ave Suite 5B
Downers Grove IL 60515-1552
Phone: (630) 963-9667
Fax: (630) 963-9936
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036081332 | Illinois |
Profile Details
NPI number | 1881693315 |
---|---|
LBN Legal business name | Martin, Monica K |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2005 |
Last updated | Apr 3rd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1881693315 | NPPES |
Illinois | MEDICAID | 036081332 |
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