Active NPI
Raquel Cristina Martinez, M.A. CCC-SLP
- Speech-Language Pathologist
- Wheeling, IL
National Provider Identifier
1821343633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 146.011001
- Practice address
- 999 W Dundee Rd
Wheeling, IL 60090-3986 - Phone
- (847) 537-8270
- NPI assigned
- Jul 17, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 146.011001 | IL | Primary |
Addresses
Primary practice location
999 W Dundee Rd
Wheeling, IL 60090-3986
Mailing address
999 W Dundee Rd
Wheeling, IL 60090-3986
Other names 1
- Cristy Martinez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.011001 | IL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Consolidated School District 21 | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Wheeling, IL
- NPI 1487783650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515542400000",
"number": "1821343633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "999 W DUNDEE RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600903986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "999 W DUNDEE RD",
"city": "WHEELING",
"state": "IL",
"postal_code": "600903986",
"telephone_number": "847-537-8270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ",
"first_name": "RAQUEL",
"middle_name": "CRISTINA",
"credential": "M.A. CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-17",
"last_updated": "2018-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "IL",
"license": "146.011001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CRISTY",
"last_name": "MARTINEZ",
"credential": "M.A. CCC-SLP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Wheeling, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.