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Individual

DR. DARREN CISSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
104 N. RIDGE RD., SUITE 144, MINOOKA, IL 60447-9875
(815) 467-1464
(815) 521-0492
Mailing address
104 N. RIDGE RD., SUITE 144, MINOOKA, IL 60447-9875
(815) 467-1464
(815) 521-0492

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009977
IL

Other

Enumeration date
05/19/2006
Last updated
12/02/2009
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