Martinez, Philip
Martinez, Philip is an individual health care provider with primary practice located at 5950 Lincoln Ave Unit W, Lisle IL 60532-3104. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Martinez, Philip can be contacted via phone (630) 541-8930.Contact Information
Primary practice address
5950 Lincoln Ave Unit W
Lisle IL 60532-3104
Phone: (630) 541-8930
Fax: (630) 541-8940
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 180004364 | Illinois |
Profile Details
NPI number | 1699734632 |
---|---|
LBN Legal business name | Martinez, Philip |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 20th, 2006 |
Last updated | Oct 1st, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699734632 | NPPES |
Illinois | Other | 02232842 | BLUE CROSS BLUE SHIELD |
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