Individual
RAISA C MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE # MC2030, CHICAGO, IL 60637
(773) 702-0151
Mailing address
677 CHURCH ST NE STE 100, MARIETTA, GA 30060-1101
(770) 422-2326
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
Primary
080942
GA
2084N0400X
Neurology Physician
036137585
IL
Other
Enumeration date
05/04/2011
Last updated
08/21/2018
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