Individual
WILLIAM JIMENEZ MARTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-6222
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
01095183A
IN
2084N0400X
Neurology Physician
Primary
036.161138
IL
390200000X
Student in an Organized Health Care Education/Training Program
MT216734
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300098702
—
IN
Enumeration date
06/30/2018
Last updated
02/24/2025
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