Individual
DR. DANIEL KEITH MOSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1 S NORTHWEST HWY STE B2, PARK RIDGE, IL 60068-4240
(847) 768-9635
Mailing address
7140 N MCALPIN AVE, CHICAGO, IL 60646-1220
(773) 631-3840
(773) 631-5908
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038006924
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
412027646
FEIN
—
Enumeration date
08/16/2006
Last updated
05/15/2024
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