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Individual

CARLA Y. MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1700
(847) 570-2250
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1700

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209028347
IL
363LF0000X
Family Nurse Practitioner
209028347
IL

Other

Enumeration date
01/08/2024
Last updated
02/28/2024
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