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Search › Illinois › 207P00000X

Jerome Martin

NPI 1437681970 · on the registry since 2017 · sole proprietor

Practice

Address
820 S Wood St
Chicago, IL 60612
Phone
(815) 298-3950
Organisation at this address
Board Of Trustees Of The University Of Illinois
The Board Of Trustees Of The University Of Illinois
The Board Of Trustees Of The University Of Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address
454

Registry record

Primary taxonomy
207P00000X
207P00000X
Also registered as
390200000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-05-17

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