Illami Romero Martinez

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

6415 Stanley Ave
Berwyn, IL 60402-3130

Phone

(708) 995-3815

Fax

(708) 788-8535

NPI assigned

Sep 1, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Holistic Vida Therapy

  • Marriage & Family Therapist
  • Holt, MI
  • NPI 1043835895
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575849600000",
    "number": "1083081517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 KEYSTONE AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489114039",
            "telephone_number": "517-321-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6415 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604023130",
            "telephone_number": "708-995-3815",
            "fax_number": "708-788-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMERO MARTINEZ",
        "first_name": "ILLAMI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2019-12-09",
        "certification_date": "2019-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesus Rojo
• Claudia A Roldan, FNP
• Angelica Maria Roman, B.A
• Tania Roman, LCSW
• Claudia Rae Romanek, DDS
• Rebeca Romero-Rocha
• Craig R. Root, LCSW
• Rosin Optical Co., Inc
• Nina Rossiello, DPT
• Marylu Ruiz

• Marriage & Family Therapist in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Marriage & Family Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.