Individual
CARLOS O. MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 N OAK ST, HINSDALE, IL 60521-3829
(630) 856-6782
Mailing address
4325 ROSLYN RD, DOWNERS GROVE, IL 60515-5805
(630) 964-5856
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME79771
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
35244
BCBS
FL
Enumeration date
01/11/2006
Last updated
07/08/2007
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