Phillip John Martini in Evanston - General Practice
Phillip John Martini - NPI 1780794883
Phillip John Martini is a General Practice in Evanston, Illinois. Phillip John Martini practices all healthcare services and medical treatments related to General Practice. The NPI Number for Phillip John Martini is 1780794883. The last update date is 2007-07-08.
Phillip John Martini's current location address is 636 Church St, Evanston, Illinois. You can contact this provider via phone number 8474910203 and fax number 8474911210. The mailing address for Phillip John Martini is 636 Church St, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip John Martini |
|---|---|
| Address | 636 Church St, Evanston, Illinois |
| Phone Number | 8474910203 |
| Fax Number | 8474911210 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1780794883 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 636 Church St |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 60201 |
| Phone Number | 8474910203 |
| Fax Number | 8474911210 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1002861 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Phillip John Martini by the Centers for Medicare & Medicaid Services?
The Phillip John Martini has been assigned the NPI (National Provider Identifier) 1780794883. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Phillip John Martini is physically located?
The Phillip John Martini is physically situated at the following address: 636 Church St, Evanston, IL, 60201.
What is Phillip John Martini's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Phillip John Martini is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did Phillip John Martini receive its 1780794883 assignment from the Centers for Medicare & Medicaid Services?
The Phillip John Martini was assigned its 1780794883 on 2006-08-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Phillip John Martini most recently updated or refreshed?
The details pertaining to the Phillip John Martini, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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