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Contact Information

GARY M MART, MD
1046 MONROE AVE
RIVER FOREST, IL60305-1426
 Phone: 312-509-3910
 Fax: 312-277-6565
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for GARY M MART · (Male)

NPI # 1386713196
Status Active
Credentials MD
Entity Individual
Enumeration date 11/07/2006
Last updated 06/25/2025 - About 11 months ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 036101590
  • IL Medicaid 036101590
  • IL Other 01632730 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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