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Individual

DR. MAXWELL BARRETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
633 SKOKIE BLVD, SUITE #270, NORTHBROOK, IL 60062-2858
(847) 513-6996
(847) 513-6998
Mailing address
633 SKOKIE BLVD, SUITE #270, NORTHBROOK, IL 60062-2858
(847) 513-6996
(847) 513-6998

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010563
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
K51006
MEDICARE ID TYPE UNSPECIFIED
IL
Enumeration date
10/26/2006
Last updated
06/18/2008
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