Individual
DANILO MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2800 W 95TH STREET, LITTLE COMPANY OF MARY HOSPITAL, EVERGREEN, IL 60805
(708) 229-5104
(630) 323-1699
Mailing address
6910 SO MADISON, WILLOWBROOK, IL 60527
(630) 321-2715
(630) 323-1699
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0221524519
BCBS
—
Enumeration date
07/19/2006
Last updated
07/08/2007
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