DR. Jack Richard Martin, DC
NPI #1003914342 in St Charles, Illinois
Provider Information
- NPI Number
- 1003914342
- Entity Type
- Individual
- Name
- DR. Jack Richard Martin, DC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Chiropractor
- Credential
- DC
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Nov 20, 2007
Practice Location
- Address
- 1601 EAST MAIN STREET
- Address 2
- SUITE 1B
- City
- St Charles
- State
- Illinois
- ZIP Code
- 60174
- Phone
- (630) 377-4955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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