| Doctor Name: | DR. ALMA MIA ROSAL MARTIJA |
| NPI Number: | 1093094690 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 036.103214 |
| Business Practice Address: | 1301 Copperfield Ave Suite 206 Joliet, IL - 604322054 |
| Business Phone Number: | 8157262368 |
| Business Fax Number: | 8157744799 |
| Mailing Address: | 1301 Copperfield Ave, Suite 206 JOLIET |
| State: | IL |
| Postal Code: | 604322054 |
| Phone Number: | 8157262368 |
| Fax Number: | 8157744799 |
| NPI Enumeration Date: | 08/12/2011 |
| NPI Last Update Date: | 08/12/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 036.103214 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |