Organization
MJMNMT, LLC
Active
Other names
Lemont Natural Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JACOB IMBER D.C., DACNB (OWNER)
(630) 257-0550
Entity
Organization
Contact information
Practice address
1192 WALTER ST STE C, LEMONT, IL 60439-2905
(630) 257-0550
(630) 257-0555
Mailing address
1192 WALTER ST STE C, LEMONT, IL 60439-2905
(630) 257-0550
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
038.012507
IL
111NN1001X
Nutrition Chiropractor
038.005323
IL
Other
Enumeration date
09/28/2016
Last updated
09/28/2016
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