Individual provider · Type 1 NPI

Martha Marie Gentry

Licensed Practical Nurse · Oak Lawn, IL

NPI number 1679626188 Active

Practice location

4700 W 95th St Ste LL5
Oak Lawn, IL 60453-2575

Call (708) 891-1651 Map

Mailing address

790 Campbell Ave
Calumet City, IL 60409-4306

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse Primary	164W00000X	None listed

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

6 other providers at this address

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About NPI 1679626188

Martha Marie Gentry's National Provider Identifier is 1679626188, issued on Jan 19, 2007. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Oak Lawn, IL. The record was last updated on Jul 8, 2007.