Davis, Daryl Ellis

Davis, Daryl Ellis is an sole proprietor health care provider with primary practice located at 202 S Marion St , Oak Park IL 60302. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Davis, Daryl Ellis can be contacted via phone (708) 386-2090.

Contact Information

Primary practice address
202 S Marion St Oak Park IL 60302
Phone: (708) 386-2090
Fax: (708) 386-2092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038007677 Illinois

Profile Details

NPI number 1356306088
LBN Legal business name Davis, Daryl Ellis
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2006
Last updated Sep 18th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356306088 NPPES
Illinois MEDICAID 038007677

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