JEROME MARTIN


Address: 820 S Wood St, Chicago, IL 60612-4325
Phone: 8152983950

JEROME MARTIN (NPI# 1437681970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437681970
Entity Type Individual
Full Name JEROME MARTIN
Practice Address 820 S Wood St
Chicago
IL 60612-4325
Mailing Address 900 S Clark St Apt 1817
Chicago
IL 60605-3697
Practice Telephone 8152983950
Mailing Telephone 8152983950
Enumeration Date 2017-04-03
Last Update Date 2020-05-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207P00000X Emergency Medicine 125071031 IL Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 820 S WOOD ST
City CHICAGO
State IL
Zip Code 60612-4325

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194727909 Mark Allen Grevious Plastic Surgery 820 S Wood St, Suite 515 Csn (mc 958), Chicago, IL 60612-4325 2005-08-11
1093336968 Sofia Sami Student in an Organized Health Care Education/Training Program 820 S Wood St, Chicago, IL 60612-4325 2020-05-02
1629592639 Mahmoud Mima Urology 820 S Wood St, Csn 515, Chicago, IL 60612 2017-08-01
1023541398 Kumar Siddharth Lal Student in an Organized Health Care Education/Training Program 820 S Wood St, Suite 100 Csn, M/c 675, Chicago, IL 60612-4325 2017-04-04
1013370691 Adam Kosloff Student in an Organized Health Care Education/Training Program 820 S Wood St, Mc 675, Chicago, IL 60612-4325 2016-04-01
1295198166 Sanmeet Singh Student in an Organized Health Care Education/Training Program 820 S Wood St, Chicago, IL 60612-4325 2016-03-30
1417310244 Yahia Zaki Almallah Urology 820 S Wood St, Csn Suit 515 M/c 955, Chicago, IL 60612-4325 2016-03-30
1962891606 Alexandra Albanese Family Medicine 820 S Wood St, Suite 100 Csn, Chicago, IL 60612-4325 2015-01-19
1114332012 Board of Trustees of The University of Illinois Health Maintenance Organization 820 S Wood St, Suite W310 - M/c 974, Chicago, IL 60612-4325 2014-06-30
1639511926 Raed Abdulkareem Student in an Organized Health Care Education/Training Program 820 S Wood St, Chicago, IL 60612-4325 2013-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 207P00000X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine

Taxonomy Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811503394 Susan Lochhead Emergency Medicine 1930 N Fremont St, Chicago, IL 60614-5017 2020-09-19
1851900344 Cepamerica Illinois PC Emergency Medicine 2112 S Michigan Ave, Chicago, IL 60616-1704 2020-07-30
1538622287 Brandon Fen Chang Emergency Medicine 820 S Wood St Ste 100, Chicago, IL 60612-4325 2019-04-10
1053872630 Oretunlewa Soyinka Emergency Medicine 5841 S Maryland Ave # 5068, Chicago, IL 60637-1443 2019-03-27
1457818098 Innovative Iv Care, Pllc Emergency Medicine 3221 N Sheffield Ave Ste 100, Chicago, IL 60657-8510 2019-03-01
1013414077 Lauran Wirfs Emergency Medicine 1650 W Harrison St, 466 Atrium, Rush University Medical Center, Gme, Chicago, IL 60612 2018-04-06
1518461987 David Bennett Feiger Emergency Medicine 211 E Huron St, Suite 200, Chicago, IL 60611-3055 2018-03-21
1639699127 Eugene David Hill Emergency Medicine 1623 N Rockwell St, Chicago, IL 60647-5217 2017-06-26
1740719905 Courtney Hutchins Emergency Medicine 5841 S. Maryland Avenue Mc1052, J-141, Chicago, ID 60637 2017-06-09
1417305137 Christopher Louis Scodeller Emergency Medicine 7435 W. Talcott A, Presence Resurrection Medical Center, Chicago, IL 60631 2016-06-03
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Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

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.

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