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Dr. Johnnatan Marin, MD

Emergency Medicine in Peoria, IL. Individual provider (NPI-1).

NPI number1164059259
StatusActive
Last updated in NPPESJun 16, 2025

Details

NPI
1164059259
Entity type
Individual (NPI-1)
Name
Dr. Johnnatan Marin
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 26, 2020
Certification date
Jun 16, 2025
Last updated
Jun 16, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine036165712ILYes
207P00000X Emergency MedicineME156427FL
207P00000X Emergency MedicineU3937TX
207P00000X Emergency Medicine01092367AIN

Practice location

530 Ne Glen Oak Ave
Peoria, IL 61637-1005

Phone 309-655-2553 · Fax 309-655-2602

Mailing address

130 Nw 199th St
Miami, FL 33169-2919

Phone 704-302-4621

Other practice locations

1611 Nw 12th Ave
Miami, FL 33136-1005

Phone 704-302-4621

201 S 14th St
Herrin, IL 62948-3631

Phone 618-942-2171 · Fax 618-351-4917

2 S Hospital Dr
Murphysboro, IL 62966-3333

Phone 618-684-3156 · Fax 618-529-0524

405 W Jackson St
Carbondale, IL 62901-1462

Phone 618-549-0721 · Fax 618-457-0469

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