NPI 1063873149

Andrew Martin

Practitioner Health Educator Maywood, IL

Practice location

Address: 1915 S 25th Ave, Maywood, IL 60153-2825
Phone: (773) 655-5661

Registered specialties

Health Educator Primary

Other Service Providers Taxonomy 174H00000X

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Registry record

NPI: 1063873149
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2016
Record last updated: 16 Mar 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.