Individual
DR. LEYNARD M MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12050 S HARLEM AVE STE A, PALOS HEIGHTS, IL 60463-2803
(708) 671-1500
(708) 671-1535
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036108904
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036108904
—
IL
Enumeration date
06/30/2006
Last updated
12/08/2021
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