JACK RICHARD MARTIN

ST CHARLES, IL
NPI1003914342
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IL  038004270)
Enumeration Date2006-09-20
Last Update Date2007-11-20
Business Address
Dr. JACK RICHARD MARTIN DC
1601 EAST MAIN STREET SUITE 1B
ST CHARLES, IL 60174
Phone number: 630-377-4955
Mailing Address
Dr. JACK RICHARD MARTIN DC
200 WEST SOUTH STREET SUITE 5B
ELBURN, IL 60119
Phone number: 630-661-1026