Individual
ALEJANDRA MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1926 N KOSTNER AVE, CHICAGO, IL 60639-5110
(616) 706-7064
Mailing address
1926 N KOSTNER AVE, CHICAGO, IL 60639-5110
(616) 706-7064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
146.014776
—
IL
Enumeration date
09/24/2019
Last updated
09/24/2019
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