Martavius T Lovall, MD
Psychiatry & Neurology, Neurology in Park Ridge, IL. Individual provider (NPI-1).
NPI number1124606983
StatusActive
Last updated in NPPESNov 4, 2026
Details
- NPI
- 1124606983
- Entity type
- Individual (NPI-1)
- Name
- Martavius T Lovall
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2021
- Certification date
- Nov 4, 2026
- Last updated
- Nov 4, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology, Neurology | 036-182009 | IL | Yes |
Practice location
1875 Dempster St Ste 301Park Ridge, IL 60068-1127
Phone 847-723-4088 · Fax 847-723-0990
Mailing address
29373 Network PlChicago, IL 60673-1293
Other practice locations
300 Pasteur Dr
Stanford, CA 94305-5133
Stanford, CA 94305-5133
Phone 650-723-6661 · Fax 650-498-6205
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