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Individual

DR. DAN ARTHUR NIEQUIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1126 N MAIN ST, ALGONQUIN, IL 60102-3482
(847) 658-8514
(847) 658-8515
Mailing address
1126 N MAIN ST, ALGONQUIN, IL 60102-3482
(847) 658-8514
(847) 658-8515

Taxonomy

Speciality
Code
Description
License number
State
111NT0100X
Thermography Chiropractor
Primary
38003530
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05627052
BLUE CROSS AND BLUE SHIEL
IL
Enumeration date
08/12/2005
Last updated
08/05/2013
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