| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Martha M. Kachmaryk MD · Martha Maria Kachmaryk | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Martha | [sources] | |||
| ID Number | MD446985 | [sources] | |||
| Last name | Kachmaryk | [sources] | |||
| Middle name | M. · Maria | [sources] | |||
| NPI | 1528110392 | [sources] | |||
| Registration number | G129378 | [sources] | |||
| Sector | Physician | [sources] | |||
| Title | MD | [sources] | |||
| Address | 1505 Norfolk Ave., Westchester, IL, 60154 · out of state, PA | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
Medical providers suspended from or otherwise deemed ineligible to participate in California's Medicaid program.
United States · DHCS
us-medpa-a8b8102ea2e4eaaca20de66cee8fb2000aec4b80 · us-medca-451c879d60662264d6d7bfc81c2669663f876658For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Out of state, PA · Out-of-State, PA · out of state, PA | United States | |
| United States | Department of Health Care Services | - | - |