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1285155192
JUSTIN TROY MARTIN
CHICAGO, IL
NPI
1285155192
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 125071377)
Enumeration Date
2017-06-30
Last Update Date
2022-01-20
Business Address
Dr. JUSTIN TROY MARTIN MD
1969 W OGDEN AVE
CHICAGO, IL 60612-3765
Phone number: 208-577-0326
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Mailing Address
Dr. JUSTIN TROY MARTIN MD
430 W DIVERSEY PKWY APT 208
CHICAGO, IL 60614-6124
Phone number:
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