Individual provider · Type 1 NPI
Jack Richard Martin, DC
Chiropractor · St. Charles, IL
NPI number
1003914342
Active
Practice location
1601 East Main Street, Suite 1B
St. Charles, IL 60174
Fax (630) 377-4958
Mailing address
200 West South Street, Suite 5B
Elburn, IL 60119
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | None listed |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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About NPI 1003914342
Jack Richard Martin, DC's National Provider Identifier is 1003914342, issued on Sep 20, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Charles, IL. The record was last updated on Nov 20, 2007.