CONSTANCE M. MARTIN (NPI# 1134279664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134279664 |
| Entity Type | Individual |
| Full Name | CONSTANCE M. MARTIN |
| Credential | PH.D. |
| Practice Address |
7101 N Cicero Ave Suite 203 Lincolnwood IL 60712-2112 |
| Practice Telephone | 3124589086 |
| Practice Fax Number | 8479834783 |
| Mailing Telephone | 3124589086 |
| Mailing Fax Number | 8479834783 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2012-01-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
071-005433 | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003257874 | Constance Marie Martin | Nurse Practitioner | 3333 Burnet Ave, Ml 2018, Cincinnati, OH 45229-3026 | 2013-07-09 |
| 1780965723 | Constance Faith Martin | Physical Therapy Assistant | 405 Osigian Blvd, Warner Robins, GA 31088-8958 | 2011-09-05 |
| 1053598730 | Constance Bargeron Martin | Clinic/Center | 1280 Athens St, Gainesville, GA 30507-7000 | 2008-01-25 |
| Street Address |
7101 N CICERO AVE SUITE 203 |
| City | LINCOLNWOOD |
| State | IL |
| Zip Code | 60712-2112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477652998 | Carefirst Home Health Services, Inc. | Home Health | 7101 N Cicero Ave, Suite 104, Lincolnwood, IL 60712-2112 | 2006-09-21 |
| 1841471083 | Denise M Shaeffer | Psychologist | 7101 N Cicero Ave, Suite 203, Lincolnwood, IL 60712-2112 | 2007-11-15 |
| 1003014804 | Elaine Dorothy Rado | Psychologist | 7101 N Cicero Ave, Suite 203, Lincolnwood, IL 60712-2112 | 2007-07-03 |
| 1619192796 | Illinois Family Home Health Services, LLC | Home Health | 7101 N Cicero Ave, Suite 110, Lincolnwood, IL 60712-2112 | 2007-04-16 |
| 1346387487 | Deanna Lyn Conklin-danao | Psychologist | 7101 N Cicero Ave, Suite 203, Lincolnwood, IL 60712-2112 | 2007-01-30 |
| 1861557498 | Mara Tesler Stein | Psychologist | 7101 N Cicero Ave, Suite 203, Lincolnwood, IL 60712-2112 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255998811 | Better Residential Care | Adult Companion | 7301 N. Lincoln Avenue, Suite 104, Lincolnwood, IL 60712 | 2019-05-20 |
| 1538652441 | Elysium Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7366 N Lincoln Ave Ste 304, Lincolnwood, IL 60712 | 2018-06-14 |
| 1851805253 | Jasmine Lukose | Nurse Practitioner | 6501 N. Lincoln Ave, Lincolnwood, IL 60712 | 2017-11-21 |
| 1982134425 | Sana Baig | Dentist | 4368 W Touhy Ave, Lincolnwood, IL 60712 | 2017-06-18 |
| 1447640081 | Soghra Sorouri | Dentist | 6838 N. Kilpatrick Ave, Lincolwood, IL 60712 | 2015-02-04 |
| 1164839239 | Sunrise Nursing & Rehabilitation Center | Skilled Nursing Facility | 7383 N Lincon Ave, Suite 100, Lincolnwood, IL 60712 | 2014-07-21 |
| 1013328079 | Lawrence S. Reiner | Dentist | 4751 W. Touhy Ave, Lincolnwood, IL 60712 | 2014-05-13 |
| 1437430121 | Susan B Sorisho | Pharmacist | 7318 N East Prairie Rd, Lincolnwood, IL 60712 | 2011-09-08 |
| 1922338623 | Dean Medical, Sc | Internal Medicine | 6501 N. Sauganash, Lincolnwood, IL 60712 | 2010-01-04 |
| 1134456064 | Leah Brennan | Marriage & Family Therapist | 6834 N. Lowell Ave., Lincolnwood, IL 60712 | 2009-11-13 |
| Find all providers in zip 60712 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124599022 | Matthew Jordan Waxler | Psychologist | 6600 N Lincoln Ave Ste 211, Lincolnwood, IL 60712-3641 | 2018-12-17 |
| 1033294913 | Neal Kirschenbaum | Psychologist | 6524 N Drake Ave, Lincolnwood, IL 60712-4018 | 2006-10-26 |
| 1588199038 | Neli Cohen | Psychologist | 7300 N Cicero Ave, Ste 208, Lincolnwood, IL 60712-1695 | 2017-04-21 |
| 1588005508 | Mei-whei Chen | Psychologist | 6677 N Lincoln Ave, Suite 234b, Lincolnwood, IL 60712-3619 | 2013-07-08 |
| 1902078975 | Martin J. Steigman | Psychologist | 4433 W Touhy Ave, Suite 552, Lincolnwood, IL 60712-1820 | 2008-03-30 |
| 1427228683 | Harold Fuentes | Psychologist | 4433 W Touhy Ave, Suite 500, Lincolnwood, IL 60712-1820 | 2008-03-04 |
| 1841471083 | Denise M Shaeffer | Psychologist | 7101 N Cicero Ave, Suite 203, Lincolnwood, IL 60712-2112 | 2007-11-15 |
| 1003014804 | Elaine Dorothy Rado | Psychologist | 7101 N Cicero Ave, Suite 203, Lincolnwood, IL 60712-2112 | 2007-07-03 |
| 1396958138 | Kristin Velazquez Kenefick | Psychologist | 4433 W Touhy Ave, Suite 500, Lincolnwood, IL 60712-1820 | 2007-05-08 |
| 1639291909 | Chicago Associates In Counseling and Psychotherapy, Ltd. | Psychologist | 4433 W Touhy Ave, Suite # 552, Lincolnwood, IL 60712-1820 | 2007-04-06 |
| Find all providers in LINCOLNWOOD | ||||
| City | LINCOLNWOOD |
| Zip Code | 60712 |
Please comment or provide details below to improve the information on CONSTANCE M. MARTIN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.