Mary M Martino is a Podiatrist in Mundelein, Illinois. Mary M Martino practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Mary M Martino is 1689734964. The last update date is 2017-04-24.
Mary M Martino's current location address is 1324 Kettering Rd, Mundelein, Illinois. You can contact this provider via phone number 8472260267. The mailing address for Mary M Martino is 1324 Kettering Rd, Mundelein, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary M Martino |
|---|---|
| Address | 1324 Kettering Rd, Mundelein, Illinois |
| Phone Number | 8472260267 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1689734964 |
|---|---|
| Provider Enumeration Date | 2006-12-09 |
| Last Updated Date | 2017-04-24 |
Provider Mailing Address Detail
| Address | 1324 Kettering Rd |
|---|---|
| City | Mundelein |
| State | Illinois (IL) |
| Post Code | 600605364 |
| Phone Number | 8472260267 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Podiatrist |
|---|---|
| Taxonomy | 213E00000X |
| Licence No | 016-004178 |
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Definition: A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 600-01724 | IL | BCBS OF ILLINOIS |
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What is the unique 10-digit identifier code assigned to Mary M Martino by the Centers for Medicare & Medicaid Services?
The Mary M Martino has been issued the NPI (National Provider Identifier) 1689734964 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Mary M Martino is located?
The Mary M Martino is situated at the following address: 1324 Kettering Rd, Mundelein, IL, 600605364.
What is the Mary M Martino's area of specialization and corresponding taxonomy classification?
The Mary M Martino's specialty field is Podiatrist, and it falls under the taxonomy code 213E00000X, which categorizes healthcare providers based on their specialties.
On what date did the Mary M Martino receive its 1689734964 assignment from the Centers for Medicare & Medicaid Services?
The Mary M Martino was assigned its 1689734964 by the Centers for Medicare & Medicaid Services on 2006-12-09.
As of what date was the information regarding Mary M Martino, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary M Martino, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2017-04-24.