Individual
DR. MARTIN ORVAL MINNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1230 ARMOUR RD, BOURBONNAIS, IL 60914-2106
(815) 274-5487
Mailing address
PO BOX 62, KANKAKEE, IL 60901-0062
(815) 274-5487
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008377
IL
Other
Enumeration date
06/13/2007
Last updated
06/22/2010
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