Individual
DIEGO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2146 N DAYTON ST APT 108, CHICAGO, IL 60614-4389
(630) 440-6943
Mailing address
2146 N DAYTON ST APT 108, CHICAGO, IL 60614
(630) 440-6943
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051292190
IL
Other
Enumeration date
09/23/2011
Last updated
09/23/2011
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