Martinez, William A

Martinez, William A is an sole proprietor health care provider with primary practice located at 1870 W Winchester Rd Suite 145, Libertyville IL 60048-5358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martinez, William A can be contacted via phone (847) 996-0700.

Contact Information

Primary practice address
1870 W Winchester Rd Suite 145 Libertyville IL 60048-5358
Phone: (847) 996-0700
Fax: (847) 996-0679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036099225 Illinois

Profile Details

NPI number 1144212382
LBN Legal business name Martinez, William A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 15th, 2005
Last updated Dec 9th, 2021 - about 3 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 1144212382 NPPES
Illinois MEDICAID 036099225

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