Antonio Martinez is a Clinical in Chicago, Illinois. Antonio Martinez practices all healthcare services and medical treatments related to Clinical. The NPI Number for Antonio Martinez is 1760502314. The last update date is 2012-06-20.
Antonio Martinez's current location address is 1438 W Pratt Blvd Apt 1, Chicago, Illinois. You can contact this provider via phone number 7733819543. The mailing address for Antonio Martinez is 1438 W Pratt Blvd Apt 1, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Antonio Martinez |
|---|---|
| Address | 1438 W Pratt Blvd Apt 1, Chicago, Illinois |
| Phone Number | 7733819543 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D |
NPI Number Detail
| NPI Number | 1760502314 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2012-06-20 |
Provider Mailing Address Detail
| Address | 1438 W Pratt Blvd Apt 1 |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606264216 |
| Phone Number | 7733819543 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71.00596 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique identifier code issued to Antonio Martinez by the Centers for Medicare & Medicaid Services?
The Antonio Martinez has been assigned the NPI (National Provider Identifier) 1760502314. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Antonio Martinez is physically located?
The Antonio Martinez is physically situated at the following address: 1438 W Pratt Blvd Apt 1, Chicago, IL, 606264216.
What is the Antonio Martinez's specialty and taxonomy code?
The Antonio Martinez's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1760502314 to Antonio Martinez?
The Centers for Medicare & Medicaid Services originally issued the 1760502314 to Antonio Martinez on 2007-03-29.
When was the Antonio Martinez's information last updated?
The Antonio Martinez's information was last updated on 2012-06-20.