Individual
MR. MARTIN BRIGGS MCNAB JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
119 E COURT ST, KANKAKEE, IL 60901
(815) 932-8564
Mailing address
119 E COURT ST, KANKAKEE, IL 60901-3823
(815) 932-8564
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
213000086
IL
Other
Enumeration date
05/09/2008
Last updated
02/15/2016
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