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Contact Information

ROBERT P MARTIN, DPM
2825 WEST DIVISION STREET
MANTENO, IL60950
 Phone: 815-468-7117
 Fax: 815-468-7510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for ROBERT P MARTIN · (Male)

NPI Number 1497732499
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 12/30/2005
Last updated 10/27/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • PROVENA ST MARYS HOSPITAL - (Acute Care)
    500 W COURT ST
    KANKAKEE, IL 60901
  • RIVERSIDE MEDICAL CENTER - (Acute Care)
    350 N WALL ST
    KANKAKEE, IL 60901
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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