Dr. Desmond J Martello
Chiropractor Nutrition Occupational Health Rehabilitation Chiropractor and 1 more
10644 S Cicero Ave
Oak Lawn
, Illinois 60453-5268
Dr. Desmond J Martello
Chiropractor Nutrition Occupational Health Rehabilitation Chiropractor and 1 more
10644 S Cicero Ave
Oak Lawn
, Illinois 60453-5268
(708) 425-2700
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About
Features
Specialties
- Chiropractor
- Nutrition
- Rehabilitation Chiropractor
- Chiropractic Sports Physician
- Occupational Health
Languages spoken
- English
Location
First Address
- Dr. Desmond J Martello
- 10644 S Cicero Ave
- Oak Lawn, IL
- Zip : 60453-5268
- Phone : (708) 425-2700
Second Address
- Dr. Desmond J Martello
- 10644 S Cicero Ave
- Oak Lawn, IL
- Zip : 60453-5268
- Phone : (708) 425-2700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 038-006379 | IL |
| N | 111NN1001X | Nutrition | 038-006379 | IL |
| N | 111NR0400X | Rehabilitation Chiropractor | 038-006379 | IL |
| N | 111NS0005X | Chiropractic Sports Physician | 038-006379 | IL |
| N | 111NX0100X | Occupational Health | 038-006379 | IL |
National Provider Identifier
| NPI | 1992867725 |
|---|---|
| Provider Name | Dr. Desmond J Martello |
| First Address | Oak Lawn, IL 60453-5268 |
| Second Address | Oak Lawn, IL 60453-5268 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/12/2006 |
| Last Update Date | 31/03/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1682339 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.