Martin, Tedjitou

Martin, Tedjitou is an individual health care provider with primary practice located at 6436 Roosevelt Rd 307, Oak Park IL 60304-2163. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Martin, Tedjitou can be contacted via phone (708) 655-9606.

Contact Information

Primary practice address
6436 Roosevelt Rd 307 Oak Park IL 60304-2163
Phone: (708) 655-9606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.002895 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 085-002895 Illinois

Profile Details

NPI number 1053454926
LBN Legal business name Martin, Tedjitou
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Apr 28th, 2009 - about 15 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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