Individual
MR. DARYL MATTHEW ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
205 N GRAND AVENUE WEST, SPRINGFIELD, IL 62702-2550
(217) 525-2035
(217) 525-2303
Mailing address
205 N GRAND AVENUE WEST, SPRINGFIELD, IL 62702-2550
(217) 525-2035
(217) 525-2303
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010232
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08432115
BLUE CROSS
—
Enumeration date
10/02/2006
Last updated
10/20/2010
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