| William A. Martinezmdsc | |
|
1870 W Winchester Rd Suite 145 Libertyville IL 60048-5358 | |
| (847) 996-0700 | |
| (847) 996-0679 |
| Full Name | William A. Martinezmdsc |
|---|---|
| Speciality | Family Medicine |
| Location | 1870 W Winchester Rd, Libertyville, Illinois |
| Authorized Official Name and Position | William Alonso Martinez (PRESIDENT) |
| Authorized Official Contact | 8479960700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| William A. Martinezmdsc 1870 W Winchester Rd Suite 145 Libertyville IL 60048-5358 Ph: (847) 996-0700 | William A. Martinezmdsc 1870 W Winchester Rd Suite 145 Libertyville IL 60048-5358 Ph: (847) 996-0700 |
| NPI Number | 1982829321 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2769581594 |
|---|---|
| Medicare Enrollment ID | O20070620000215 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982829321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Illinois) | Primary |
| Provider Name | William A Martinez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144212382 PECOS PAC ID: 7911006747 Enrollment ID: I20070620000244 |
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