Healthcare Provider Details

I. General information

NPI: 1912534645
Provider Name (Legal Business Name): PATRICIA AURORA MARTIN-HOYT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA AURORA MARTIN MD

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

225 E CHICAGO AVE
CHICAGO IL
60611-2991
US

IV. Provider business mailing address

225 E CHICAGO AVE
CHICAGO IL
60611-2991
US

V. Phone/Fax

Practice location:
  • Phone: 312-227-4000
  • Fax:
Mailing address:
  • Phone: 312-227-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number111603
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number036.163962
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: