Individual
DR. DANIEL A. DEBOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2433 ONTARIO ST STE B, SCHERERVILLE, IN 46375-2700
(708) 895-1798
Mailing address
2433 ONTARIO ST STE B, SCHERERVILLE, IN 46375-2700
(708) 895-1798
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
038-008216
IL
111N00000X
Chiropractor
Primary
08001736A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01622471
BLUECROSSBLUESHIELD
IL
01
—
RR350043820
RAILROAD MEDICARE
IL
Enumeration date
03/30/2007
Last updated
01/31/2022
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