Search › Illinois › 164W00000X
Lolita Martin
NPI 1326582636 · on the registry since 2016 · sole proprietor
Practice
- Address
- 14235 S Wallace Ave
Riverdale, IL 60827 - Phone
- (708) 439-9981
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-12-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois