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Individual

DANIEL W ORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
6315 DEMPSTER ST, MORTON GROVE, IL 60053-2848
(847) 967-0101
(847) 967-6889
Mailing address
5833 W. DEMPSTER ST, MORTON GROVE, IL 60053
(847) 967-0101
(847) 967-6889

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-005601
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0071645882
BCBS
IL
01
1682675
BCBS GROUP
IL
01
350054367
MEDICARE RAIL ROAD
IL
Enumeration date
09/15/2006
Last updated
10/18/2017
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