Individual
DR. DESMOND J MARTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
10644 S CICERO AVE, OAK LAWN, IL 60453-5268
(708) 425-2700
Mailing address
10644 S CICERO AVE, OAK LAWN, IL 60453-5268
(708) 425-2700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-006379
IL
111NN1001X
Nutrition Chiropractor
038-006379
IL
111NR0400X
Rehabilitation Chiropractor
038-006379
IL
111NS0005X
Sports Physician Chiropractor
038-006379
IL
111NX0100X
Occupational Health Chiropractor
038-006379
IL
Other
Enumeration date
12/15/2006
Last updated
03/31/2009
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