Martinez-Lopez, Janette

Martinez-Lopez, Janette is an sole proprietor health care provider with primary practice located at 5341 W Cermak Rd , Cicero IL 60804-2817. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Martinez-Lopez, Janette can be contacted via phone (773) 656-6430.

Contact Information

Primary practice address
5341 W Cermak Rd Cicero IL 60804-2817
Phone: (773) 656-6430
Fax: (708) 656-6591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1134246127
LBN Legal business name Martinez-Lopez, Janette
Credentials QMHP, MA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 23rd, 2007
Last updated Sep 17th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134246127 NPPES
Illinois Other 1617631 BLUE CROSS BLUE SHIELD
Illinois Other 202591 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 362246705 BLUE CROSS BLUE SHIELD

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