Provider Demographics
NPI:1083638191
Name:MARTEL, ADELE LOUISE (MD)
Entity Type:Individual
Prefix:DR
First Name:ADELE
Middle Name:LOUISE
Last Name:MARTEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:225 EAST CHICAGO AVENUE BOX #10
Mailing Address - Street 2:ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611
Mailing Address - Country:US
Mailing Address - Phone:312-227-6650
Mailing Address - Fax:312-227-9659
Practice Address - Street 1:225 EAST CHICAGO AVENUE BOX #10
Practice Address - Street 2:ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL OF CHICAGO
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611
Practice Address - Country:US
Practice Address - Phone:312-227-6650
Practice Address - Fax:312-227-9659
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL0361193662084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
F76308Medicare UPIN
2600024Medicare ID - Type Unspecified