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NPI Code Detail

MEDICARE: KARA MARIE MARTINO M.S.

MEDICARE: KARA MARIE MARTINO M.S.
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
1101YM0800XMental Health Counselor180006335IL

General Provider Information

NPI Number : 1669584108
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA MARIE MARTINO M.S.
Provider Business Mailing Address
First Line : 19758 KEVIN CT
Second Line :
City : TINLEY PARK
State : IL
Zip : 60487-3504
Country : US
Telephone Number : 708-821-8954
Fax Number :
Provider Business Practice Location Address
First Line : 9435 BORMET DR STE 5
Second Line :
City : MOKENA
State : IL
Zip : 60448-7401
Country : US
Telephone Number : 708-995-7226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 04/07/2015

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Directions to “ KARA MARIE MARTINO M.S.” Practice Location

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