MARQUE MEDICOS FULLERTON, LLC

CHICAGO, IL
NPI1831335355
Entity TypeOrganization
Authorized ContactDERRICK D. WALLERY
Manager
773-283-3131
Organization Subpart ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: IL  038008088)
Enumeration Date2009-01-06
Last Update Date2009-01-06
Business Address
MARQUE MEDICOS FULLERTON, LLC
3735 W FULLERTON AVE
CHICAGO, IL 60647-2357
Phone number: 773-283-3131
Mailing Address
MARQUE MEDICOS FULLERTON, LLC
4176 W MONTROSE AVE
CHICAGO, IL 60641-2161
Phone number: 773-283-3131
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