Full Life Rejuvenation

NPI #1477823938 in Northbrook, Illinois

Provider Information

NPI Number: 1477823938
Entity Type: Organization
Organization Name: Full Life Rejuvenation
Primary Specialty: Chiropractor
Enumeration Date: Dec 30, 2011
Last Updated: Dec 30, 2011

Practice Location

Address: 1446 TECHNY RD
City: Northbrook
State: Illinois
ZIP Code: 60062-5447
Phone: (847) 736-9555

Authorized Official

Name: DR. KIM JACOBS MARTIN, DC
Title: CHIROPRACTOR/OWNER
Phone: (847) 736-9555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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