Individual
DR. CHARLES JAMES MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-6040
Mailing address
3900 N KEELER AVE, CHICAGO, IL 60641-2915
(773) 777-3879
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
036.038826
IL
Other
Enumeration date
01/09/2009
Last updated
01/09/2009
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