Organization
BRAIN HEALTH RESTORATION ILLINOIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALTER MARTING (OWNER)
(775) 742-4911
Entity
Organization
Contact information
Practice address
1111 N PLAZA DR STE 101, SCHAUMBURG, IL 60173-4916
(775) 507-7024
Mailing address
1111 N PLAZA DR STE 101, SCHAUMBURG, IL 60173-4916
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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