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NPI Code Detail

MEDICARE: MR. DAVID MICHAEL MARR DC

MEDICARE:  MR. DAVID MICHAEL MARR  DC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor038010188IL

General Provider Information

NPI Number : 1538117726
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DAVID MICHAEL MARR DC
Provider Business Mailing Address
First Line : 2732 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7431
Country : US
Telephone Number : 312-235-6773
Fax Number : 312-265-6312
Provider Business Practice Location Address
First Line : 2732 N LINCOLN AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60614-7431
Country : US
Telephone Number : 312-235-6773
Fax Number : 312-265-6312
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 04/05/2016

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Directions to “ MR. DAVID MICHAEL MARR DC” Practice Location

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