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1245944313
RODERICK MARTINEZ
CHICAGO, IL
NPI
1245944313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 041399302)
Enumeration Date
2023-01-12
Last Update Date
2023-11-30
Business Address
Mr. RODERICK MARTINEZ FNP-C
1801 W TAYLOR ST
CHICAGO, IL 60612-4795
Phone number: 773-523-2615
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Mailing Address
Mr. RODERICK MARTINEZ FNP-C
1801 W TAYLOR ST
CHICAGO, IL 60612-4795
Phone number: 773-523-2615
Copy
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