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Organization

VICTOR M. MARTINEZ

Active
Other names
Ama Orthopedic Shoes
Organization subpart
No

Provider details

NPI number
Authorized official
MR. VICTOR M MARTINEZ CERTIFIED PEDORTHIST (OWNER)
(773) 925-4184
Entity
Organization

Contact information

Practice address
3127 W 63RD ST, CHICAGO, IL 60629-2719
(773) 925-4184
(773) 925-4134
Mailing address
3127 W 63RD ST, CHICAGO, IL 60629-2719
(773) 925-4184
(773) 925-4134

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
IL

Other

Enumeration date
03/13/2008
Last updated
03/13/2008
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