Individual
JORGE E MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
166 BARTLETT PLZ, BARTLETT, IL 60103-4234
(630) 483-0665
(630) 483-0526
Mailing address
PO BOX 8533, BARTLETT, IL 60103-8533
(630) 483-0665
(630) 483-0665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036099034
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099034
—
IL
Enumeration date
04/27/2006
Last updated
12/16/2024
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