Individual provider · NPI-1

James Gordon Martin, MD

Hospitalist · Berwyn, IL

NPI number1235382011
StatusActive
Last updated in NPPESJun 12, 2024

Details

NPI
1235382011
Entity type
Individual (NPI-1)
Name
James Gordon Martin
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 24, 2008
Certification date
Jun 12, 2024
Last updated
Jun 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist036122080ILYes
207R00000X Internal Medicine036122080IL

Practice location

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone 708-783-0437 · Fax 708-783-6919

Mailing address

3249 Oak Park Ave
Berwyn, IL 60402-3429

Phone 708-783-0437 · Fax 708-783-6919

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