Individual
DR. DANIEL B MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2340 S HIGHLAND AVE, SUITE 300, LOMBARD, IL 60148-5371
(630) 261-1210
(630) 261-1211
Mailing address
2340 S HIGHLAND AVE, SUITE 300, LOMBARD, IL 60148-5371
(630) 261-1210
(630) 261-1211
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036095776
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036095776
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364390963
TAX ID
IL
Enumeration date
11/13/2006
Last updated
01/18/2012
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