Individual provider · Type 1 NPI

Fernanda Martinez

Student in an Organized Health Care Education/Training Program · New Lenox, IL

NPI number 1477496792 Active

Practice location

1900 Silver Cross Blvd
New Lenox, IL 60451-9509

Call (815) 300-1100 Map

Mailing address

24241 W Hummingbird Dr
Channahon, IL 60410-5240

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1477496792

Fernanda Martinez's National Provider Identifier is 1477496792, issued on Apr 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Lenox, IL. The record was last updated on Apr 13, 2026.