Provider Demographics
NPI:1790965994
Name:MARTIN N SACHMAN MD & ASSOCIATES
Entity Type:Organization
Organization Name:MARTIN N SACHMAN MD & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD.
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:N
Authorized Official - Last Name:SACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-564-5200
Mailing Address - Street 1:1535 LAKE COOK RD
Mailing Address - Street 2:STE 306
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-1447
Mailing Address - Country:US
Mailing Address - Phone:847-564-5200
Mailing Address - Fax:847-564-5250
Practice Address - Street 1:1535 LAKE COOK RD
Practice Address - Street 2:STE 306
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-1447
Practice Address - Country:US
Practice Address - Phone:847-564-5200
Practice Address - Fax:847-564-5250
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-06
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036053022174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL211770Medicare PIN