Individual
CRISTIAN MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1739 N ELSON AVENUE, CHICAGO, IL 60642
(773) 672-7775
Mailing address
616 COOKANE AVE, ELGIN, IL 60120-7906
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
1-23-69111
IL
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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