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General NPI Number Information
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NPI Number | 1205910247
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Entity Type | Organization
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Legal Business Name | MARTENS CHIROPRACTIC AND ACUPUNCTURE CENTER, S.C.
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7511 LEMONT RD SUITE 150
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City | DARIEN
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State | IL
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Zip | 60561-4394
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Country | US
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Telephone | 630-985-7700
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Fax | 630-985-7800
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Provider Business Mailing Address
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Address Line | 7511 LEMONT RD SUITE 150
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City | DARIEN
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State | IL
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Zip | 60561-4394
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Country | US
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Telephone | 630-985-7700
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Fax | 630-985-7800
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KATHLEEN A MARTENS
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Credential | DC
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Telephone | 630-985-7700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | IL
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