Individual
CARLOS MARTINEZ PARRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
836 W WELLINGTON AVE, CHICAGO, IL 60657-5147
(773) 975-1600
Mailing address
1049 W OAKDALE AVE APT 311, CHICAGO, IL 60657-4307
(312) 404-3923
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MT221684
PA
208600000X
Surgery Physician
125067645
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125067645
MEDICAL LICENSE
IL
Enumeration date
06/23/2015
Last updated
06/23/2020
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