Individual
JEZREELITA MARTINEZ MEDINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 N SAYRE AVE, CHICAGO, IL 60634-4733
(773) 628-3301
Mailing address
2912 N SAYRE AVE, CHICAGO, IL 60634-4733
(773) 628-3301
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
IL
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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