| Dr Diana Martinez, DC | |
|
2615 E Cass St, Joliet, IL 60432-9761 | |
| (815) 600-9515 | |
| Not Available |
| Full Name | Dr Diana Martinez |
|---|---|
| Gender | Female |
| Speciality | Chiropractor |
| Location | 2615 E Cass St, Joliet, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215314505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038.012776 (Illinois) | Primary |
| Provider Name | Vida Medical Centers Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1093413049 PECOS PAC ID: 3779968284 Enrollment ID: O20220920002281 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Diana Martinez, DC 2615 E Cass St, Joliet, IL 60432-9761 Ph: (815) 600-9515 | Dr Diana Martinez, DC 2615 E Cass St, Joliet, IL 60432-9761 Ph: (815) 600-9515 |
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