Individual
JAIME A MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3329 75TH ST STE 202, WOODRIDGE, IL 60517-2700
(630) 646-6750
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036131315
IL
Other
Enumeration date
06/24/2010
Last updated
12/06/2023
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