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Organization
ZEN PHYSICAL MEDICINE LTD
Active
Organization
ZEN PHYSICAL MEDICINE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE MARIAN D.C. (PRESIDENT)
(815) 395-8676
Entity
Organization
Contact information
Practice address
5301 E STATE ST, SUITE112, ROCKFORD, IL 61108-2388
(815) 395-8676
(815) 395-1751
Mailing address
5301 E STATE ST, SUITE112, ROCKFORD, IL 61108-2901
(815) 395-8676
(815) 395-1751
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009452
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038-009452
CHIROPRACTIC LICENSE #
IL
01
—
1023095155
INDIVIDUAL NPI #
IL
Enumeration date
10/18/2006
Last updated
04/03/2012
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