Glen Wayne Martin
Contractor - Home Modifications • Danville, IL
Professional Overview & Biography Verified Profile Summary
Glen Martin is a registered healthcare professional specializing in Contractor - Home Modifications in Danville, IL. Practice services are available at 218 N LOGAN AVE under active NPI credentials.
Practice Location & Contact Primary Location
218 N Logan Ave
Danville, IL 618325655
Specialty Benchmarks & Practice Insights
Comparative analytics for Contractor - Home Modifications in Danville, IL
Practicing in Danville, IL (20 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-05-04NUCC Taxonomy Code: 171WH0202X
Definition to come...
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 218 N LOGAN AVE, DANVILLE, IL 618325655 (Tel: 2174310240)
Registered at 108 LAKESIDE DR, DANVILLE, IL 618321317 (Tel: 2174970444)
Recorded as GLEN MARTIN
Contractor (License #B-0014 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
108 Lakeside Dr
Danville, IL 618321317
Phone: 2174970444
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