Individual
DR. ANTONIO MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1438 W PRATT BLVD APT 1, CHICAGO, IL 60626-4216
(773) 381-9543
Mailing address
1438 W PRATT BLVD STE 1, CHICAGO, IL 60626-4216
(773) 220-0909
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.005960
IL
Other
Enumeration date
03/29/2007
Last updated
06/20/2012
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