Individual
ILLAMI ROMERO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6415 STANLEY AVE, BERWYN, IL 60402-3130
(708) 995-3815
(708) 788-8535
Mailing address
1545 KEYSTONE AVE, LANSING, MI 48911-4039
(517) 321-7663
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
12/09/2019
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