Individual
FERNANDA MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SILVER CROSS BLVD, NEW LENOX, IL 60451-9509
(815) 300-1100
Mailing address
24241 W HUMMINGBIRD DR, CHANNAHON, IL 60410-5240
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
—
IL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
04/11/2026
Last updated
04/13/2026
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