Individual
MR. ERIC MARTINEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN, FNP
Contact information
Practice address
600 W FULTON ST, SUITE 200, CHICAGO, IL 60661-1259
(312) 526-2083
Mailing address
2138 S INDIANA AVE, APT. 2504, CHICAGO, IL 60616-4930
(815) 505-7783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209013932
IL
Other
Enumeration date
03/04/2016
Last updated
10/14/2020
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