MARTZ SIMS HENN CAROLE - NPI: 1073714663


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1073714663
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: CAROLE
Provider Last Name: MARTZ
Provider Middle Name: SIMS HENN
Provider Gender Code: F
Provider Credential Text: CNS
Provider Enumeration Date: 05/30/2007
Last Update Date: 07/08/2007

Business Address:

Provider First Line Business Mailing Address: 2650 RIDGE AVE
Provider Business Mailing Address City Name: EVANSTON
Provider Business Mailing Address State Name: IL
Provider Business Mailing Address Postal Code: 60201
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 8475701206
Fax Number: 8475701248

Mailing Address:

Provider First Line Business Practice Location Address: 757 PARK WEST
Provider Second Line Business Practice Location Address: HIGHLAND PARK HOSPITAL
Provider Business Practice Location Address City Name: HIGHLAND PARK
Provider Business Practice Location Address State Name: IL
Provider Business Practice Location Address Postal Code: 60035
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 8479265818
Fax Number: 8474803805

Primary Taxonomy:

Taxonomy Code: 364SX0200X
License Number:
License State: IL
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Clinical Nurse Specialist
Specialization: Oncology
Definition: Definition to come...
Source: The National Provider Identifier

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