| Doctor Name: | MS. MARGUERITE MARTINO |
| NPI Number: | 1023187382 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | L.C.P.C., A.T.R. |
| License Number: | |
| Business Practice Address: | 1786 Moon Lake Blvd Suite 104 Hoffman Estates, IL - 601695029 |
| Business Phone Number: | 8477558090 |
| Business Fax Number: | 8478437393 |
| Mailing Address: | 1786 Moon Lake Blvd, Suite 104 HOFFMAN ESTATES |
| State: | IL |
| Postal Code: | 601695029 |
| Phone Number: | 8477558090 |
| Fax Number: | 8478437393 |
| NPI Enumeration Date: | 11/08/2006 |
| NPI Last Update Date: | 01/25/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |