Anthony J Martino SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036110934 Issued in IL

Legal business name

ANTHONY J MARTINO SC

Doing business as

NorthPark Medical Group

Practice address

2225 W North Ave
Suite I
Melrose Park, IL 60160-1107

Phone

(708) 345-8255

Fax

(708) 345-0534

NPI assigned

Mar 14, 2007

Last updated

Jul 19, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Anthony Joseph Martino, MDNPI 1457319337

Title

Owner

Phone

(708) 345-8255

Specialties & licenses 1

Addresses

Other names 1

• NorthPark Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Anthony Joseph Martino, M.D.

  • Internal Medicine Physician
  • Melrose Park, IL
  • NPI 1457319337
  Medicare reassignment Authorized official
• Khushkaran Singh Brar, PT, DPT

  • Physical Therapist
  • Palatine, IL
  • NPI 1720762602
  NPD
• Dawna Dawson, P.T.

  • Physical Therapist
  • Park Forest, IL
  • NPI 1275856205
  NPD
• Carrie Greiner, LCSW

  • Clinical Social Worker
  • Oak Lawn, IL
  • NPI 1770210569
  NPD
• Jamie Alyssa Shifley, RDN

  • Registered Dietitian
  • Downers Grove, IL
  • NPI 1881151488
  NPD
• Kevin Whalen, DPT

  • Physical Therapist
  • Naperville, IL
  • NPI 1679204234
  NPD
• Carolyne Yaret Romero Rodriguez, RDN,LND,MHSN

  • Registered Dietitian
  • Isabela, PR
  • NPI 1376311811
  NPD
• Christine Garcia

  • Physical Therapist
  • Melrose Park, IL
  • NPI 1053714147
  NPD (past)
• Jacquelyn Catahay Ksiazkiewicz, PT

  • Physical Therapist
  • Crystal Lake, IL
  • NPI 1528496833
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721347200000",
    "number": "1770617862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 W NORTH AVE",
            "address_2": "SUITE I",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601107",
            "telephone_number": "708-345-8255",
            "fax_number": "708-345-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W NORTH AVE",
            "address_2": "SUITE I",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601107",
            "telephone_number": "708-345-8255",
            "fax_number": "708-345-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTHONY J MARTINO SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-345-8255",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036110934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NorthPark Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• American Drug Stores LLC (Osco Drug #3290)
• Stephen R Amesbury, MD
• Pantaleo J Amoroso, M.D.
• Erica Anderson
• Brad Anstadt, M.D.
• Ap Home Healthcare Service LLC.
• Samuel David Applebaum
• Sonya T Arambula, LCSW
• Yesenia Arce, M.D.
• Maria Mabell Arenas, INTERPRETER

• Internal Medicine Physician in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.