Individual
MR. DARYL ELLIS DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
202 S MARION ST, OAK PARK, IL 60302
(708) 386-2090
(708) 386-2092
Mailing address
202 S MARION ST, OAK PARK, IL 60302
(708) 386-2090
(708) 386-2092
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038007677
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038007677
—
IL
Enumeration date
04/18/2006
Last updated
09/18/2012
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