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Individual

GISEL ELISA MARTINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A

Contact information

Practice address
3410 W ROOSEVELT RD, CHICAGO, IL 60624-4343
(773) 826-2929
Mailing address
3563 W CORTLAND ST UNIT 2, CHICAGO, IL 60647-4837
(773) 440-0753

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
11/17/2021
Last updated
11/17/2021
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