Martinez Vein Center

LBN: Martinez Vein Center
Martinez Vein Center is an health care organization with primary practice located at 114 Bartlett Plz , Bartlett IL 60103-4234. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Martinez Vein Center can be contacted via phone (630) 483-0665, or through Martinez, Jorge E. via phone (630) 483-0665.

Contact Information

Primary practice address
114 Bartlett Plz Bartlett IL 60103-4234
Phone: (630) 483-0665
Fax: (630) 483-0526
Website:
Map and Directions
Authorized official contact:
Name: Martinez, Jorge E. Doctor of Medicine (MD)
Phone: (630) 483-0665

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 036099034 Illinois

Profile Details

NPI number 1871895474
LBN Legal business name Martinez Vein Center
DBA Doing business as
Authorized official Martinez, Jorge E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 2nd, 2010
Last updated Dec 2nd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871895474 NPPES
Illinois MEDICAID 36099034

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