DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MR. GREGORY LEE MARTINDILL PA

MEDICARE: MR. GREGORY LEE MARTINDILL PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant85000525IL

General Provider Information

NPI Number : 1609860782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GREGORY LEE MARTINDILL PA
Provider Business Mailing Address
First Line : 101 W UNIVERSITY AVE
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61820-3909
Country : US
Telephone Number : 217-366-6162
Fax Number :
Provider Business Practice Location Address
First Line : 3101 FIELDS SOUTH DR
Second Line :
City : CHAMPAIGN
State : IL
Zip : 61822-3743
Country : US
Telephone Number : 217-366-6162
Fax Number : 217-366-6106
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 01/05/2022

Similar Medicare Providers

1295328896 — CHRISTIE CLINIC, PLLC
Practice Location Address:
3101 FIELDS SOUTH DR
CHAMPAIGN, IL
61822-3743
Practice Phone: 217-366-4000
Practice Fax:
1750386215 — NATHAN A CROUCH O.D.
Practice Location Address:
3101 FIELDS SOUTH DR
CHAMPAIGN, IL
61822-3743
Practice Phone: 217-366-1250
Practice Fax:
1821098013 — DAVID M ANDERSON M.D
Practice Location Address:
3101 FIELDS SOUTH DR
CHAMPAIGN, IL
61822-3743
Practice Phone: 217-366-1237
Practice Fax:
1598752628 — KORI L CARROLL PA
Practice Location Address:
3105 FIELDS SOUTH DR
CHAMPAIGN, IL
61822-3743
Practice Phone: 217-902-7527
Practice Fax: 217-902-7755
1184606790 — ROBERT P CUSICK M.D.
Practice Location Address:
3101 FIELDS SOUTH DR
CHAMPAIGN, IL
61822-3743
Practice Phone: 217-366-1237
Practice Fax:
1003889239 — MRS. ANGELA J CUSICK P.T.
Practice Location Address:
3101 FIELDS SOUTH DR
CHAMPAIGN, IL
61822-3743
Practice Phone: 217-366-1323
Practice Fax:

Directions to “ MR. GREGORY LEE MARTINDILL PA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.