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NPI Code Detail

MEDICARE: AUNDREA MONIQUE MARTINEZ

MEDICARE: AUNDREA MONIQUE MARTINEZ
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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1316469190
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUNDREA MONIQUE MARTINEZ
Provider Business Mailing Address
First Line : 950 LEE ST STE 210
Second Line :
City : DES PLAINES
State : IL
Zip : 60016-6574
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 917 SHERWOOD DR STE 201
Second Line :
City : LAKE BLUFF
State : IL
Zip : 60044-2224
Country : US
Telephone Number : 877-486-4140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2017
Last Update Date : 07/12/2017

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Directions to “ AUNDREA MONIQUE MARTINEZ ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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