Doctor Name: | DR. GABRIEL J MARTINEZ-DIAZ |
NPI Number: | 1245556695 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 070969 |
Business Practice Address: | 275 Parkway Dr Suite 521 Lincolnshire, IL - 600694341 |
Business Phone Number: | 8474596400 |
Business Fax Number: | 8474594610 |
Mailing Address: | 275 Parkway Dr, Suite 521 LINCOLNSHIRE |
State: | IL |
Postal Code: | 600694341 |
Phone Number: | 8474596400 |
Fax Number: | 8474594610 |
NPI Enumeration Date: | 04/09/2010 |
NPI Last Update Date: | 08/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 070969 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |