Gary Marshall Mart in Chicago - Child & Adolescent Psychiatry
Gary Marshall Mart - NPI 1386713196
Gary Marshall Mart is a Child & Adolescent Psychiatry in Chicago, Illinois. Gary Marshall Mart practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Gary Marshall Mart is 1386713196. The last update date is 2007-07-08.
Gary Marshall Mart's current location address is 333 N Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3125781741 and fax number 3125781703. The mailing address for Gary Marshall Mart is 333 N Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Marshall Mart |
|---|---|
| Address | 333 N Michigan Ave, Chicago, Illinois |
| Phone Number | 3125781741 |
| Fax Number | 3125781703 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1386713196 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 333 N Michigan Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606013901 |
| Phone Number | 3125781741 |
| Fax Number | 3125781703 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | IL 036-10190 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1632730 | IL | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gary Marshall Mart by the Centers for Medicare & Medicaid Services?
The Gary Marshall Mart has been issued the NPI (National Provider Identifier) 1386713196 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Gary Marshall Mart is physically located?
The Gary Marshall Mart is physically situated at the following address: 333 N Michigan Ave, Chicago, IL, 606013901.
What is Gary Marshall Mart'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 Gary Marshall Mart is Child & Adolescent Psychiatry, and the taxonomy classification code that categorizes this area of expertise is 2084P0804X.
On what date was the 1386713196 assigned to Gary Marshall Mart?
The Gary Marshall Mart was issued its 1386713196 on 2006-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Gary Marshall Mart most recently updated or refreshed?
The details pertaining to the Gary Marshall Mart, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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