NPI

William Jimenez Marte

NPI 1407341506

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2018-06-30
Last updated
2025-02-24

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Specialties

Licenses

License IN
01095183A
License PA
MT216734
License IL
036.161138

Location

Practice location
5841 S Maryland Ave
City
Chicago IL
Postal code
60637-1443
Phone
(773) 702-6222

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

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