NPI 1194541003
Mia Angelina Martinez
Practice location
- Address
- 565 Lakeview Pkwy, Vernon Hills, IL 60061-1857
- Phone
- (877) 486-4140
- Mailing address
- 37249 N Grandwood Dr, Gurnee, IL 60031-1352
Registered specialties
Recreation Therapist
Primary
Registry record
- NPI
- 1194541003
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 25 Nov 2024
- Record last updated
- 25 Nov 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.