Individual
DR. DONALD WILLIAM SANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
319 MAIN STREET, PECATONICA, IL 61063-0809
(815) 239-1101
(815) 239-1113
Mailing address
319 MAIN STREET, PO BOX 809, PECATONICA, IL 61063-0809
(815) 239-1101
(815) 239-1113
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0308-005954
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10132021
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/11/2006
Last updated
12/06/2007
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