Organization
MANUEL BURCIAGA MARTINEZ M.D.S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANUEL MARTINEZ MD (PRESIDENT)
(773) 762-5050
Entity
Organization
Contact information
Practice address
4006 WEST 26TH STREET, CHICAGO, IL 60623
(773) 762-5050
(773) 762-2026
Mailing address
4006 W 26TH STREET, CHICAGO, IL 60623
(773) 762-5050
(773) 762-2026
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
IL
Other
Enumeration date
11/24/2006
Last updated
08/22/2020
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