Healthcare Provider Details

I. General information

NPI: 1700543279
Provider Name (Legal Business Name): MARTA DUBE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARTA ORGANEK

II. Dates (important events)

Enumeration Date: 11/19/2021
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MARTIN AVE STE 200
NAPERVILLE IL
60540-6535
US

IV. Provider business mailing address

10 MARTIN AVE STE 200
NAPERVILLE IL
60540-6535
US

V. Phone/Fax

Practice location:
  • Phone: 630-600-0700
  • Fax:
Mailing address:
  • Phone: 630-600-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209024239
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number209024239
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: