Marty, Gerard R

Marty, Gerard R is an individual health care provider with primary practice located at 3030 W Salt Creek Ln Suite 100, Arlington Hts IL 60005-5001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Marty, Gerard R can be contacted via phone (847) 870-4200.

Contact Information

Primary practice address
3030 W Salt Creek Ln Suite 100 Arlington Hts IL 60005-5001
Fax: (847) 870-0059
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036074683 Illinois

Profile Details

NPI number 1518948181
LBN Legal business name Marty, Gerard R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jun 11th, 2014 - about 11 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 1518948181 NPPES
Illinois MEDICAID 0360746831
Illinois Other 01634499

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