Individual
JESUS MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7222 W. CERMAK RD. SUITE 500, SUITE 500, NORTHRIVERSIDE, IL 60546
(866) 695-2221
Mailing address
6413 28TH PL, BERWYN, IL 60402-2767
(630) 697-9130
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
07/31/2023
Last updated
03/25/2025
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