Jill M. Martinez

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.012950 Issued in IL

Practice address

3330 W 177TH St Ste 1F
Hazel Crest, IL 60429-2186

Phone

(708) 745-3040

NPI assigned

Oct 8, 2009

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)

Enrolled

State licenses

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.

• Deep Buch, MD SC

  • Psychiatry Physician
  • Palos Heights, IL
  • NPI 1477212751
  NPD

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1295060226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST STE 1F",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292186",
            "telephone_number": "708-745-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 W 177TH ST STE 1F",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292186",
            "telephone_number": "708-745-3040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "JILL",
        "middle_name": "M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-08",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.012950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Management Services Team Inc.
• Marie A Mance, RN
• Manna for Life Services, LLC
• Volodimir Z Markiv, MD
• Martin R Hall MD. SC.
• Merrin Mathew
• Mariah Erin Taylor McCaskill
• Theresa Marie McCollom, PTA
• Randolph M McConnie, MD
• Stavone McHerron

• Clinical Social Worker in Hazel Crest, IL
• Providers in Hazel Crest, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2011; 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.