Individual
DR. DAPHNE ROSCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
4337 W IRVING PARK RD, CHICAGO, IL 60641-2830
(713) 410-3776
Mailing address
3846 N LOWELL AVE, CHICAGO, IL 60641-2854
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8071
TX
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11628176
CAQH
IL
Enumeration date
10/19/2007
Last updated
01/21/2008
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