Individual
DR. DANIEL F COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC BABCO ACRB
Contact information
Practice address
310 S MAIN STREET, SUITE E, LOMBARD, IL 60148
(630) 916-8533
(630) 916-8538
Mailing address
310 S MAIN STREET, SUITE E, LOMBARD, IL 60148
(630) 916-8533
(630) 916-8538
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008821
IL
111NR0400X
Rehabilitation Chiropractor
038008821
IL
111NX0800X
Orthopedic Chiropractor
038008821
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02222824
BLUE CROSS BLUE SHIELD
IL
Enumeration date
04/16/2007
Last updated
10/16/2023
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