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Organization
PRIMARY HEALTH CARE SPECIALISTS S.C
Active
Organization
PRIMARY HEALTH CARE SPECIALISTS S.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HERIBERTO MARTINEZ M.D. (PRESIDENT)
(708) 780-1464
Entity
Organization
Contact information
Practice address
5857 W 35TH ST, CICERO, IL 60804-4250
(708) 780-1464
(708) 780-1468
Mailing address
5857 W 35TH ST, CICERO, IL 60804-4250
(708) 780-1464
(708) 780-1468
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036111596
IL
207Q00000X
Family Medicine Physician
036119790
IL
207R00000X
Internal Medicine Physician
Primary
036093980
IL
208000000X
Pediatrics Physician
036093980
IL
Other
Enumeration date
04/24/2007
Last updated
10/28/2010
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