Individual
DR. DOUGLAS RYAN KREBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
922 W DIVERSEY PKWY, CHICAGO, IL 60614-1416
(773) 529-0057
(773) 529-0231
Mailing address
922 W DIVERSEY PKWY, CHICAGO, IL 60614-1416
(773) 529-0057
(773) 529-0231
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009427
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1627810
BLUE CROSS BLUE SHIELD
IL
01
—
7805296
AETNA
IL
Enumeration date
03/21/2007
Last updated
07/14/2010
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