Diana G Martinez, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

146.012812 Issued in IL

Practice address

3519 Wilcox Ave
Bellwood, IL 60104-2174

Phone

(630) 297-1769

NPI assigned

Apr 26, 2018

Last updated

Apr 26, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1821586660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LIBERTY CT",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604401115",
            "telephone_number": "630-297-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 WILCOX AVE",
            "city": "BELLWOOD",
            "state": "IL",
            "postal_code": "601042174",
            "telephone_number": "630-297-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTINEZ",
        "first_name": "DIANA",
        "middle_name": "G",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "146.012812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Whitney Lipscomb, APRN
• Marbella Lopez
• Shardae Lott
• Marathon Health, LLC (UWC-Bellwood)
• Marathon Health, LLC (Uwc- Bellwood)
• Huma Masood, M.D
• Joe Mattingly, ATC
• Alexandra Nicole McDonald
• Med Spa for Me, Inc. (Johnson-Miller Funeral Chapel, PC)
• Mila Medical Supply LLC

• Speech-Language Pathologist in Bellwood, IL
• Providers in Bellwood, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.

Verify at the official NPI Registry.