WILLIAM JIMENEZ MARTE MD NPI 1407341506

NPI Information

NPI: 1407341506
Provider Name: WILLIAM JIMENEZ MARTE, MD
Classification: Psychiatry & Neurology - 2084N0400X
Specialization: Neurology
Entity Type: Individual
PECOS Registration: Yes
Address: 5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637
Phone: (773) 702-6222

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NPI Details

William Jimenez Marte, MD is a neurology psychiatry neurology in Chicago, IL with 12 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. William Jimenez Marte, MD NPI is 1407341506. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637-443
Phone: (773) 702-6222

The NPI 1407341506 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/30/2018 and was last updated on 2/24/2025.

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
1	2084N0400X	Psychiatry & Neurology	Neurology	01095183A	INDIANA	No
2	390200000X	Student in an Organized Health Care Education/Training Program		MT216734	PENNSYLVANIA	No
3	2084N0400X	Psychiatry & Neurology	Neurology	036.161138	ILLINOIS	Yes

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
1	300098702	MEDICAID	INDIANA

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: 3/30/2025

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