Marque Medicos Farnsworth, LLC

NPI #1902074321 in Aurora, Illinois

Provider Information

NPI Number: 1902074321
Entity Type: Organization
Organization Name: Marque Medicos Farnsworth, LLC
Primary Specialty: Chiropractor
Enumeration Date: Feb 19, 2008
Last Updated: Feb 19, 2008

Practice Location

Address: 1281 N FARNSWORTH AVE
City: Aurora
State: Illinois
ZIP Code: 60505-2445
Phone: (773) 283-3131

Authorized Official

Name: DR. DERRICK D. WALLERY, D.C.
Title: MANAGER
Phone: (773) 283-3131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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