Jack Richard Martin, DC

Chiropractor · St Charles, IL

Individual Active NPI

NPI number 1003914342

Practice location

1601 East Main Street
Suite 1b
St Charles, IL 60174
Phone
(630) 377-4955
Fax
(630) 377-4958

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NPI record

NPI
1003914342
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
November 20, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X — IL

Mailing address

200 West South Street
Suite 5b
Elburn, IL 60119
Phone
(630) 661-1026

About Dr. Martin

Jack Richard Martin, DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1601 East Main Street, Suite 1b, St Charles, IL 60174. The NPI number 1003914342 was assigned on September 20, 2006 and the record was last updated on November 20, 2007.

Frequently asked questions

What is the NPI number of Jack Richard Martin, DC?

The NPI number is 1003914342.

What is the phone number of Dr. Martin?

The phone number listed for the practice location is (630) 377-4955.

Where is Dr. Martin located?

1601 East Main Street, Suite 1b, St Charles, IL 60174.

What is the taxonomy code for Dr. Martin?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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