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
Fax: (630) 541-8940
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699734632 NPPES
Illinois Other 02232842 BLUE CROSS BLUE SHIELD

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