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NPI Code Detail

MEDICARE: JULIO C MARTINEZ RN

MEDICARE: JULIO C MARTINEZ RN
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
1163W00000XRegistered Nurse041485918IL

General Provider Information

NPI Number : 1801731674
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIO C MARTINEZ RN
Provider Business Mailing Address
First Line : 4538 N KARLOV AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60630-4402
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 530 NE GLEN OAK AVE
Second Line :
City : PEORIA
State : IL
Zip : 61637-0001
Country : US
Telephone Number : 130-965-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2026
Last Update Date : 04/20/2026

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