Individual
VICTOR M MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.PED
Contact information
Practice address
3127 W 63RD ST, CHICAGO, IL 60629-2719
(773) 925-4184
(773) 925-4134
Mailing address
3127 W 63RD ST, CHICAGO, IL 60629-2719
(773) 925-4184
(773) 925-4134
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
IL
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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