| Doctor Name: | RICARDO MARTINEZ |
| NPI Number: | 1033307863 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 036087720 |
| Business Practice Address: | 303 W. Lake St Addison, IL - 60101 |
| Business Phone Number: | 3312219001 |
| Business Fax Number: | |
| Mailing Address: | 172 Schiller, ELMHURST |
| State: | IL |
| Postal Code: | 601262885 |
| Phone Number: | 3312219000 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2007 |
| NPI Last Update Date: | 01/13/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 036087720 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |