Individual
DR. MICHAEL BRODIE MEDLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1300 IROQUOIS AVE, SUITE 270, NAPERVILLE, IL 60563-8553
(630) 428-0201
Mailing address
1300 IROQUOIS AVE, SUITE 270, NAPERVILLE, IL 60563
(630) 428-0201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038.012161
IL
Other
Enumeration date
04/10/2012
Last updated
04/10/2012
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