Individual provider · Type 1 NPI

Daphne Martinez-Cruz

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

NPI number 1891544516 Active

Practice location

Pa Program, 240 E Huron St Ste 1-200
Chicago, IL 60611-2909

Call (312) 503-1851 Map

Mailing address

Pa Program, 240 E Huron St., Ste 1-200
Chicago, IL 60611-2909

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA66797 (CA)
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 1891544516

Daphne Martinez-Cruz's National Provider Identifier is 1891544516, issued on May 15, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Dec 23, 2025.