Individual
DONNA MARTINEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
71 WEST 156TH STREET, SUITE 308, HARVEY, IL 60426
(708) 331-6617
(708) 331-7957
Mailing address
27702 NETWORK PL, CHICAGO, IL 60673-1277
(708) 862-7674
(708) 862-1781
Taxonomy
Speciality
Code
Description
License number
State
364SN0800X
Neuroscience Clinical Nurse Specialist
Primary
209004339
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209-004339
IL-LICENSE
IL
01
—
F400407490
MEDICARE
IL
Enumeration date
10/03/2006
Last updated
02/18/2019
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