| NPI | 1932396157 |
|---|---|
| Former Legal Business Name | RANDOLPH S MARTIN, MD, SC |
| Entity Type | Organization |
| Authorized Contact | RANDOLPH S. MARTIN President 217-546-0750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: IL 036079474) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2022-07-21 |