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Dr. Jack Richard Martin, DC
Chiropractor in St Charles, Illinois
NPI 1003914342

Jack Richard Martin is a Chiropractor based in Elburn, IL. Jack Richard Martin practices in St Charles, IL and has the professional credentials of DC. The NPI Number for Jack Richard Martin is 1003914342 and holds a License No. (Illinois).

The current practice location address for Jack Richard Martin is 1601 East Main Street, St Charles, IL and can be reached out via phone at 630-377-4955 and via fax at 630-377-4958.

Location: 1601 East Main Street, St Charles, IL, 60119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003914342
Provider Name
Jack Richard Martin
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1601 East Main Street, St Charles, IL, 60119
Phone Number
630-377-4955
Fax Number
630-377-4958
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4532187 01 IL BC/BS
institution
Provider Business Practice Location Address Details
Address
1601 East Main Street
City
St Charles
State
Illinois
Zip
60174
Phone Number
630-377-4955
Fax Number
630-377-4958
person
Provider Business Mailing Address Details
Address
1601 East Main Street
City
St Charles
State
Illinois
Zip
60174
Phone Number
630-377-4955
Fax Number
630-377-4958
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
(Illinois)
Definition
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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