Individual
DR. NICOLAS C MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C, F.A.C.O
Contact information
Practice address
3720 W 26TH ST, 2ND FL., CHICAGO, IL 60623-3824
(773) 277-2225
(773) 277-1134
Mailing address
651 W ARMITAGE AVE, ELMHURST, IL 60126-2122
(630) 833-4725
(630) 833-6756
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162248
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/09/2005
Last updated
07/08/2007
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