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Organization
FULL LIFE REJUVENATION
Active
Organization
FULL LIFE REJUVENATION
Active
Other names
North Shore Health Solutions ltd
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIM JACOBS MARTIN DC (CHIROPRACTOR/OWNER)
(847) 736-9555
Entity
Organization
Contact information
Practice address
1446 TECHNY RD, NORTHBROOK, IL 60062-5447
(847) 736-9555
(847) 386-6270
Mailing address
1446 TECHNY RD, NORTHBROOK, IL 60062-5447
(847) 736-9555
(847) 386-6270
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.011644
IL
Other
Enumeration date
12/30/2011
Last updated
12/30/2011
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