Individual
MARTHA YANEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5525 S PULASKI RD, CHICAGO, IL 60629-4400
(312) 567-7500
(312) 447-7740
Mailing address
2525 S MICHIGAN AVE, MEDICAL STAFF OFFICE, CHICAGO, IL 60616-2477
(312) 567-5677
(312) 567-6189
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036088167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01621679
BCBS OF IL
IL
Enumeration date
12/19/2005
Last updated
04/05/2018
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