Individual
DR. ANGELA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
516 S CHESTNUT ST, WENONA, IL 61377-7526
(815) 853-4402
(815) 853-4200
Mailing address
750 GREEN BAY RD, WINNETKA, IL 60093-1938
(847) 446-0202
(847) 446-0208
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036099168
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036099168
—
IL
Enumeration date
06/28/2006
Last updated
01/19/2018
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