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NPI Code Detail

MEDICARE: DARLEAN IRENDA MARTIN PHARMD

MEDICARE: DARLEAN IRENDA MARTIN PHARMD
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
1183500000XPharmacist051308551IL

General Provider Information

NPI Number : 1447195839
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLEAN IRENDA MARTIN PHARMD
Provider Business Mailing Address
First Line : 5 E 114TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60628-4921
Country : US
Telephone Number : 773-876-7455
Fax Number :
Provider Business Practice Location Address
First Line : 5435 S KEDZIE AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60632-2642
Country : US
Telephone Number : 773-436-7396
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2026
Last Update Date : 04/21/2026

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