Provider Demographics
NPI:1922005792
Name:FINN, MARTIN J (MD)
Entity type:Individual
Prefix:
First Name:MARTIN
Middle Name:J
Last Name:FINN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 W 22ND ST STE 200
Mailing Address - Street 2:
Mailing Address - City:OAK BROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60523-1563
Mailing Address - Country:US
Mailing Address - Phone:630-573-5000
Mailing Address - Fax:
Practice Address - Street 1:675 W NORTH AVE STE 402
Practice Address - Street 2:
Practice Address - City:MELROSE PARK
Practice Address - State:IL
Practice Address - Zip Code:60160-1624
Practice Address - Country:US
Practice Address - Phone:708-450-4551
Practice Address - Fax:708-681-9711
Is Sole Proprietor?:No
Enumeration Date:2005-07-07
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036068656207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036068656Medicaid
IL1616108OtherBCBS
IL1616108OtherBCBS
IL922820Medicare ID - Type UnspecifiedGROUP NUMBER
ILL09571Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
IL110059942Medicare PIN
IL036068656Medicaid