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Individual

MELISSA A MARTINEZ MATEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2601 W MAIN ST, CARBONDALE, IL 62901-1031
(618) 549-5361
(618) 351-4878
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
11015804A
IN
207R00000X
Internal Medicine Physician
125056433
IL
207RG0100X
Gastroenterology Physician
Primary
01072250A
IN
207RG0100X
Gastroenterology Physician
036139158
IL

Other

Enumeration date
09/21/2010
Last updated
12/04/2025
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