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NPI Code Detail

MEDICARE: JOANA SANTOS MARTINS

MEDICARE: JOANA SANTOS MARTINS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker150114034IL

General Provider Information

NPI Number : 1154154813
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOANA SANTOS MARTINS
Provider Business Mailing Address
First Line : 53 W JACKSON BLVD STE 1632
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3734
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 53 W JACKSON BLVD STE 1632
Second Line :
City : CHICAGO
State : IL
Zip : 60604-3734
Country : US
Telephone Number : 312-725-3175
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2024
Last Update Date : 08/20/2024

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Directions to “ JOANA SANTOS MARTINS ” Practice Location

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