Individual
MRS. DARYL K MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, MPT
Contact information
Practice address
1544 NERGE RD, ELK GROVE VILLAGE, IL 60007-3673
(847) 923-0046
(847) 923-0047
Mailing address
1544 NERGE RD, ELK GROVE VILLAGE, IL 60007-3673
(847) 923-0046
(847) 923-0047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01635922
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/08/2006
Last updated
08/28/2007
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