Thomas E Martin, PSYD, LCPC is a
Psychologist - Clinical based in North Chicago, Illinois. Thomas E Martin is licensed to practice in Illinois (license number ) and his current practice location is
3001 Green Bay Rd, Building 9 116b, North Chicago, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 688-1900.
NPI number for Thomas E Martin is 1487766762 and his current mailing address is 3001 Green Bay Rd, Building 9 116b, North Chicago, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487766762.
Healthcare Provider's Profile
| Full Name | Thomas E Martin |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
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| Location | 3001 Green Bay Rd, North Chicago, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487766762
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 12/26/2007
Medical Identifiers
Medical identifiers for Thomas E Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1487766762 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thomas E Martin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Thomas E Martin, PSYD, LCPC 3001 Green Bay Rd, Building 9 116b, North Chicago, IL 60064-3048 Ph: (847) 688-1900 | Thomas E Martin, PSYD, LCPC 3001 Green Bay Rd, Building 9 116b, North Chicago, IL 60064-3048 Ph: (847) 688-1900 |
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