NPI 1780821975

Charles James Martinez, MD

Practitioner Nuclear Imaging & Therapy Physician Park Ridge, IL

Practice location

Address: 1775 Dempster St, Park Ridge, IL 60068-1143
Phone: (847) 723-6040
Mailing address: 3900 N Keeler Ave, Chicago, IL 60641-2915

Registered specialties

Nuclear Imaging & Therapy Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207UN0902X Licence 036.038826 (IL)

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Registry record

NPI: 1780821975
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jan 2009
Record last updated: 9 Jan 2009

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.