Organization
MARTIS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARRI ALLISON CUNNINGHAM (OFFICE MANAGER)
(309) 347-1500
Entity
Organization
Contact information
Practice address
1340 PARK AVENUE, PEKIN, IL 61554-5082
(309) 347-1500
(309) 347-1510
Mailing address
1340 PARK AVENUE, PEKIN, IL 61554-5082
(309) 347-1500
(309) 347-1510
Taxonomy
Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
038004275
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9082010
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/10/2008
Last updated
07/10/2008
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