| J. Colby Martin, Ph.d., P.c. | |
|
29 S Webster St Suite 220 Naperville IL 60540-5356 | |
| (630) 355-9933 | |
| Not Available |
| Full Name | J. Colby Martin, Ph.d., P.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 29 S Webster St, Naperville, Illinois |
| Authorized Official Name and Position | John Colby Martin (PRESIDENT) |
| Authorized Official Contact | 6303559933 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| J. Colby Martin, Ph.d., P.c. 29 S. Webster Street Suite 220 Naperville IL 60540-4563 Ph: (630) 355-9933 | J. Colby Martin, Ph.d., P.c. 29 S Webster St Suite 220 Naperville IL 60540-5356 Ph: (630) 355-9933 |
| NPI Number | 1770527905 |
|---|---|
| Provider Enumeration Date | 06/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5395843460 |
|---|---|
| Medicare Enrollment ID | O20070613000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770527905 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (Illinois) | Primary |
| Provider Name | John Colby Martin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417921271 PECOS PAC ID: 6103838735 Enrollment ID: I20060626000139 |
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