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1477063147
DEREK JUSTIN MAITLAND
LISLE, IL
NPI
1477063147
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: IL 038.013131)
Enumeration Date
2017-10-06
Last Update Date
2017-10-06
Business Address
DEREK JUSTIN MAITLAND DC
906 LACEY AVE
LISLE, IL 60532-1318
Phone number: 630-963-1410
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Mailing Address
DEREK JUSTIN MAITLAND DC
538 S ILLINOIS AVE
VILLA PARK, IL 60181-2960
Phone number: 630-235-6433
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