Individual
DR. MERCEDES MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4200 N OAK PARK AVE, CHICAGO, IL 60634-1417
(773) 551-2724
Mailing address
2515 N ROCKWELL ST, CHICAGO, IL 60647-1918
(773) 551-2724
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036092099
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
05
—
036092099
—
IL
Enumeration date
11/29/2005
Last updated
02/08/2022
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