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Individual

DR. DARRIN R FOSZCZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2207 N US HIGHWAY 12, SUITE E, SPRING GROVE, IL 60081-9706
(815) 675-9355
(815) 675-9323
Mailing address
2207 N US HIGHWAY 12, SUITE E, SPRING GROVE, IL 60081-9706
(815) 675-9355
(815) 675-9323

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-008496
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004932017
BCBS PROVIDER #
IL
01
364478173
TAX ID #
IL
Enumeration date
08/29/2006
Last updated
02/15/2010
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