Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Glen Wayne Martin

Individual provider Home Modifications Contractor · NPI 1982349833

Glen Wayne Martin is a Home Modifications Contractor in Danville, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2022

Practice location Address checks out

218 N Logan Ave
Danville, IL 61832-5655
Phone: (217) 431-0240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Home Modifications Contractor (primary) Taxonomy 171WH0202X · Licence B-0014 (IL)

Record details

NPI number1982349833
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 4, 2022
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022
Mailing address108 Lakeside Dr, Danville, IL 61832-1317

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