Organization
JOSE CARLO MARTINEZ
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSE CARLO MARTINEZ D.C (CHIROPRACTOR)
(815) 768-9137
Entity
Organization
Contact information
Practice address
2611 E CASS ST, JOLIET, IL 60432-9761
(815) 768-9137
Mailing address
2611 E. CASS STREET, JOLIET, IL 60432
(815) 768-9137
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012953
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038012953
STATE OF ILLINOIS LICENSE
IL
Enumeration date
04/05/2016
Last updated
04/05/2016
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