Individual provider · Type 1 NPI

Deanna B. S. Martin, PA-C

Medical Physician Assistant · Chicago, IL

NPI number 1790193423 Active

Practice location

251 E Huron, Feinberg 16-738
Chicago, IL 60611

Call (312) 926-5924 Map

Fax (312) 926-6134

Mailing address

680 N Lake Shore Dr, Suite #1000
Chicago, IL 60611-4546

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085005106 (IL)
Medical Physician Assistant Primary 363AM0700X085005106 (IL)

Medical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1790193423

Deanna B. S. Martin, PA-C's National Provider Identifier is 1790193423, issued on Jul 25, 2014. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 26, 2018.