Individual
JAMES MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 W ARMY TRAIL BLVD, ADDISON, IL 60101-3299
(630) 501-0971
Mailing address
601 W ARMY TRAIL BLVD, ADDISON, IL 60101-3299
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
227.000071
IL
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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