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NPI Code Detail

MEDICARE: SHARON CAMPOS-MARTINEZ

MEDICARE:   SHARON  CAMPOS-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 PathologistIL

General Provider Information

NPI Number : 1952141673
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON CAMPOS-MARTINEZ
Provider Business Mailing Address
First Line : 5945 S KOMENSKY AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60629-4517
Country : US
Telephone Number : 773-240-5377
Fax Number :
Provider Business Practice Location Address
First Line : 5945 S KOMENSKY AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60629-4517
Country : US
Telephone Number : 773-240-5377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2024
Last Update Date : 05/30/2024

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Directions to “ SHARON CAMPOS-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.