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Organization
SUBURBAN CHIROPRACTIC & REHAB LTD
Active
Organization
SUBURBAN CHIROPRACTIC & REHAB LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH MARTIN DC (OWNER)
(708) 418-5505
Entity
Organization
Contact information
Practice address
18525 TORRENCE AVE, LANSING, IL 60438-2871
(708) 418-5505
Mailing address
18525 TORRENCE AVE, LANSING, IL 60438-2871
(708) 418-5505
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38010989
IL
Other
Enumeration date
07/27/2009
Last updated
07/27/2009
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