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Individual

MARTINA LOMIBAO SANTIAGO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
880 W CENTRAL RD, SUITE 4500, ARLINGTON HEIGHTS, IL 60005-2355
(847) 398-2777
(847) 394-2777
Mailing address
880 W CENTRAL RD, SUITE 4500, ARLINGTON HEIGHTS, IL 60005-2355
(847) 398-2777
(847) 394-2777

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041366794
IL
363L00000X
Nurse Practitioner
Primary
209014798
IL
363LF0000X
Family Nurse Practitioner
209014798
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
209014798
STATE LICENSE
IL
Enumeration date
07/29/2016
Last updated
08/06/2025
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