Martin, Mark

Martin, Mark is an sole proprietor health care provider with primary practice located at 6100 111Th St , Chicago Ridge IL 60415-2105. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Martin, Mark can be contacted via phone (314) 342-5059.

Contact Information

Primary practice address
6100 111Th St Chicago Ridge IL 60415-2105
Phone: (314) 342-5059
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.027848 Illinois

Profile Details

NPI number 1922888486
LBN Legal business name Martin, Mark
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2023
Last updated Oct 3rd, 2023 - about 2 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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