Individual
NANCY MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
2225 W LAWRENCE AVE APT 2, CHICAGO, IL 60625-1903
(773) 272-2556
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009353
IL
Other
Enumeration date
01/25/2023
Last updated
06/04/2023
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