Martinez, Abigail M

Martinez, Abigail M is an individual health care provider with primary practice located at 500 W Court St , Kankakee IL 60901-3661. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Martinez, Abigail M can be contacted via phone (815) 937-2100.

Contact Information

Primary practice address
500 W Court St Kankakee IL 60901-3661
Phone: (815) 937-2100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036-101855 Illinois
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01054360A Indiana

Profile Details

NPI number 1639149636
LBN Legal business name Martinez, Abigail M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Nov 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639149636 NPPES
Illinois Other 90001082 BCBS
Illinois Other 000000223683 BCBS
Illinois Other 930118932 BCBS
Illinois MEDICAID 200334020 BCBS
Illinois Other IN0050268 BCBS

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