Ann C Marty, MD
Family Medicine in Monticello, IL. Individual provider (NPI-1).
NPI number1215958905
StatusActive
Last updated in NPPESJun 11, 2012
Details
- NPI
- 1215958905
- Entity type
- Individual (NPI-1)
- Name
- Ann C Marty
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 21, 2006
- Last updated
- Jun 11, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 036077289 | IL | Yes |
Practice location
1002 Medical Center DrMonticello, IL 61856-2116
Phone 217-762-2518 · Fax 217-762-5261
Mailing address
P.O. Box 6002Urbana, IL 61803-6002
Phone 217-383-6792
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