SearchIllinois390200000X

Jeremias Martinez

NPI 1457809188 · on the registry since 2016

Practice

Address
1212 S 58th Ct
Cicero, IL 60804
Phone
(708) 646-8684

Registry record

Primary taxonomy
390200000X
390200000X
Also registered as
2255A2300X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2016-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois