| Dr Charles Franklin Martin I, MD, FACEP | |
|
9501 W 144th Pl, Suite 304, Orland Park, IL 60462-2561 | |
| (708) 873-3450 | |
| (708) 873-2791 |
| Full Name | Dr Charles Franklin Martin I |
|---|---|
| Gender | Male |
| Speciality | Surgery - Vascular Surgery |
| Location | 9501 W 144th Pl, Orland Park, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083674170 | NPI | - | NPPES |
| 0162230X | Other | IL | BX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 036087693 (Illinois) | Primary |
| 202K00000X | Phlebology | 036087693 (Illinois) | Secondary |
| Entity Name | Hoopeston Emergency Medicine Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316965197 PECOS PAC ID: 0941102446 Enrollment ID: O20040124000083 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Franklin Martin I, MD, FACEP 1901 Butterfield Rd, Suite 220, Downers Grove, IL 60515-7915 Ph: (630) 725-2700 | Dr Charles Franklin Martin I, MD, FACEP 9501 W 144th Pl, Suite 304, Orland Park, IL 60462-2561 Ph: (708) 873-3450 |
Dr. James R O'donnell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 10745 165th St, Orland Park, IL 60467 Phone: 708-364-5700 Fax: 708-745-3120 | |
Salvatore Antonio Fanto, MD Surgery Medicare: Medicare Enrolled Practice Location: 11304 W Distinctive Drive, Orland Park, IL 60462 Phone: 708-479-0005 Fax: 708-479-0022 | |
Chad Barnes, Surgery Medicare: Accepting Medicare Assignments Practice Location: 15300 West Ave Ste 108, Orland Park, IL 60462 Phone: 708-226-2318 Fax: 708-226-2319 | |
Dr. Evan T. Manolis, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 8760 W 159th St, Suite 204, Orland Park, IL 60462 Phone: 708-873-9600 Fax: 708-873-9607 | |
Shafiq Ahmed, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 15300 West Ave, Orland Park, IL 60462 Phone: 708-403-3401 Fax: 708-403-3403 | |
Dr. Anil Kumar Lamba, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 115 Singletree Rd, Orland Park, IL 60467 Phone: 708-403-9601 |