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General NPI Number Information
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NPI Number | 1427016674
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Entity Type | Individual
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Provider Name | MAEN MARTINI MD
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Gender | Male
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Dates
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Enumeration Date | 05/03/2006
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 155 E. BRUSH HILL RD. DEPARTMENT OF ANESTHESIA
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City | ELMHURST
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State | IL
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Zip | 60126
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Country | US
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Telephone | 331-221-3521
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Fax | 331-221-3827
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Provider Business Mailing Address
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Address Line | 2650 RIDGE AVE. SUITE #1223
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City | EVANSTON
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State | IL
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Zip | 60201-1718
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Country | US
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Telephone | 847-570-2040
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 336-049432
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 336-049432
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036087506
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License Number State | IL
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