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Individual

SALVADOR MARTINEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(773) 869-7488
Mailing address
5255 S LINDER AVE, CHICAGO, IL 60638-1623

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000409
IL
363AM0700X
Medical Physician Assistant
085-000409
IL

Other

Enumeration date
04/03/2007
Last updated
04/27/2021
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