De Martini, Tony Joe
De Martini, Tony Joe is an individual health care provider with primary practice located at 201 E Madison St , Springfield IL 62702-5131. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. De Martini, Tony Joe can be contacted via phone (217) 545-8000.Contact Information
Primary practice address
201 E Madison St
Springfield IL 62702-5131
Phone: (217) 545-8000
Fax: (217) 545-7877
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 036-098403 | Illinois |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 036-098403 | Illinois |
Profile Details
| NPI number | 1174604631 |
|---|---|
| LBN Legal business name | De Martini, Tony Joe |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Apr 25th, 2022 - about 4 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 | 1174604631 | NPPES |
| Illinois | MEDICAID | 036098403 |
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