Individual
SUSAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 S AUSTIN BLVD, CICERO, IL 60804-1003
(708) 299-3239
Mailing address
1400 S AUSTIN BLVD, CICERO, IL 60804-1003
(708) 299-3239
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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