Individual
MARIA ESTELA MARTINEZ ESCALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, PHD
Contact information
Practice address
5841 S MARYLAND AVE STE MC5067, CHICAGO, IL 60637-1443
(773) 702-0549
(773) 834-7071
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125.074304
IL
207R00000X
Internal Medicine Physician
125.074304
IL
207ZD0900X
Dermatopathology (Pathology) Physician
036.163235
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/01/2019
Last updated
06/23/2023
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