Organization
VIDA MEDICAL CENTERS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE CARLO MARTINEZ DC (AUTHORIZED OFFICIAL)
(815) 258-2115
Entity
Organization
Contact information
Practice address
8101 S CICERO AVE, CHICAGO, IL 60652-2017
(773) 610-8505
Mailing address
8101 S CICERO AVE, CHICAGO, IL 60652-2017
(773) 610-8505
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/20/2023
Last updated
04/18/2023
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