Individual provider · Type 1 NPI
Denise Marie Martincic
Driver · Niles, IL
NPI number
1982165304
Active
Practice location
8259 N Octavia Ave
Niles, IL 60714-2624
Fax (216) 671-3991
Mailing address
8259 N Octavia Ave # 3
Niles, IL 60714-2624
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Bus | 347B00000X | None listed |
| Private Vehicle | 347C00000X | None listed |
| Transportation Broker | 347E00000X | None listed |
| Driver Primary | 172A00000X | None listed |
Driver: A person employed to operate a motor vehicle as a carrier of persons or property.
About NPI 1982165304
Denise Marie Martincic's National Provider Identifier is 1982165304, issued on Mar 28, 2019. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Niles, IL. The record was last updated on Mar 28, 2019.