Martinez Vein Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036099034 Issued in IL

Legal business name

MARTINEZ VEIN CENTER

Practice address

166 Bartlett PLZ
Bartlett, IL 60103-4234

Phone

(630) 289-6280

NPI assigned

Sep 24, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Jorge E Martinez

Title

Physician

Phone

(630) 289-6280

Specialties & licenses 1

Addresses

Tax ID family

Martinez Vein Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Martinez Vein Center

  • Preferred Provider Organization
  • Bartlett, IL
  • NPI 1871895474
  NPD tax ID

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1386978286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 BARTLETT PLZ",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034234",
            "telephone_number": "630-289-6280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 BARTLETT PLZ",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601034234",
            "telephone_number": "630-289-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINEZ VEIN CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JORGE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "630-289-6280",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036099034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nizza Martil Maguigad, A.P.N.
• Candace Mallory, COTA/L
• Nicole Maronde, LCSW
• Gildo Apa Marte II, P.T.
• Lauryn Martin
• Martinez Vein Center
• Jorge E Martinez, MD
• Maryville Academy
• Maryville Academy
• Maryville Academy

• Family Medicine Physician in Bartlett, IL
• Providers in Bartlett, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.