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RICARDO MARTINEZ MD PC NPI 1124009360


NPI Information

NPI: 1124009360
Provider Name: RICARDO MARTINEZ, MD, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1201 W ARMY TRAIL BLVD
ADDISON, IL
ZIP 60101
Phone: (630) 458-9200
Get Directions

RICARDO MARTINEZ, MD, PC is a family medicine in Addison, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. RICARDO MARTINEZ, MD, PC NPI is 1124009360. The provider is registered as an organization entity type.

The provider's business location address is:

1201 W ARMY TRAIL BLVD
ADDISON, IL
ZIP 60101-152
Phone: (630) 458-9200
Fax: (630) 458-8460

The provider's authorized official is Ricardo Martinez .
The authorized official title is President and has the following contact phone number (630) 458-9200.

The enumeration date for this NPI number is 11/5/2005 and was last updated on 6/25/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QP2300XClinic/CenterPrimary Care036087720ILLINOISNo
2207Q00000XFamily Medicine036087720ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
108143606OTHERILLINOISMEDICAR RR
2F77600MEDICARE UPINILLINOIS
3555470MEDICARE PINILLINOIS
4036087720MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.