Donna Martinek, CNS

Primary specialty

Neuroscience Clinical Nurse SpecialistTaxonomy code 364SN0800X

License

209004339 Issued in IL

Practice address

71 West 156TH Street
Suite 308
Harvey, IL 60426

Phone

(708) 331-6617

Fax

(708) 331-7957

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Specialist

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550448000000",
    "number": "1396839031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27702 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731277",
            "telephone_number": "708-862-7674",
            "fax_number": "708-862-1781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 WEST 156TH STREET",
            "address_2": "SUITE 308",
            "city": "HARVEY",
            "state": "IL",
            "postal_code": "60426",
            "telephone_number": "708-331-6617",
            "fax_number": "708-331-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEK",
        "first_name": "DONNA",
        "credential": "CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SN0800X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Neuroscience",
            "state": "IL",
            "license": "209004339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL-LICENSE",
            "identifier": "209-004339",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "F400407490",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin G Luken III, MD
• Mathew W Maccumber, MD
• Balaji Malur, MD
• Michael Steven Marinko, M.D.
• Martin G Luken III MD SC
• Rosemary Siroun Matossian, MD
• Shirley Ann McCann, RNC NP
• Leonora McClelland-Sandridge
• Bernice Lynette McLaurin, PHARMD
• Timothy Donald McManus, PSY.D.

• Clinical Nurse Specialist in Harvey, IL
• Providers in Harvey, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.