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MARTINEZ VEIN CENTER NPI 1871895474


NPI Information

NPI: 1871895474
Provider Name: MARTINEZ VEIN CENTER
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
114 BARTLETT PLZ
BARTLETT, IL
ZIP 60103
Phone: (630) 483-0665
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MARTINEZ VEIN CENTER is a preferred provider organization in Bartlett, IL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. MARTINEZ VEIN CENTER NPI is 1871895474. The provider is registered as an organization entity type.

The provider's business location address is:

114 BARTLETT PLZ
BARTLETT, IL
ZIP 60103-234
Phone: (630) 483-0665
Fax: (630) 483-0526

The provider's authorized official is Jorge E. Martinez .
The authorized official title is Owner and has the following contact phone number (630) 483-0665.

The enumeration date for this NPI number is 12/2/2010 and was last updated on 12/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1305R00000XPreferred Provider Organization036099034ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H53955MEDICARE UPINILLINOIS
236099034MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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