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Martinez Vein Center

Family Medicine in Bartlett, IL. Organization (NPI-2).

NPI number1386978286
StatusActive
Last updated in NPPESSep 24, 2009

Details

NPI
1386978286
Entity type
Organization (NPI-2)
Legal business name
Martinez Vein Center
Organization subpart
No
Enumeration date
Sep 24, 2009
Last updated
Sep 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036099034ILYes

Practice location

166 Bartlett Plz
Bartlett, IL 60103-4234

Phone 630-289-6280

Mailing address

166 Bartlett Plz
Bartlett, IL 60103-4234

Phone 630-289-6280

Authorized official

Jorge E Martinez
Physician
6302896280

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