MRS. MARTHA MARIE GENTRY NPI 1679626188

NPI Information

  • NPI: 1679626188
  • Provider Name: MRS. MARTHA MARIE GENTRY
  • Classification: Licensed Practical Nurse - 164W00000X
  • Entity Type: Individual
  • Address: 4700 W 95TH ST STE LL5
    OAK LAWN, IL
    ZIP 60453
  • Phone: (708) 891-1651

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NPI Details

MRS. Martha Marie Gentry is a licensed practical nurse in Oak Lawn, IL. The provider is a licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. MRS. Martha Marie Gentry NPI is 1679626188. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4700 W 95TH ST STE LL5
OAK LAWN, IL
ZIP 60453-575
Phone: (708) 891-1651

The enumeration date for this NPI number is 1/19/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1164W00000XLicensed Practical NurseILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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