Provider Demographics
NPI:1558335810
Name:MARTINEZ, MARIA G (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:G
Last Name:MARTINEZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:802 E WOODFIELD RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-4713
Mailing Address - Country:US
Mailing Address - Phone:847-240-9300
Mailing Address - Fax:847-485-5014
Practice Address - Street 1:802 E WOODFIELD RD
Practice Address - Street 2:SUITE 300
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4713
Practice Address - Country:US
Practice Address - Phone:847-240-9300
Practice Address - Fax:847-485-5014
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036087084207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1628268OtherBLUE CROSS/BLUE SHIELD
IL036087084Medicaid
988840Medicare PIN
IL036087084Medicaid