Individual
MS. DANIELLE S DEVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
122 S MICHIGAN AVE, SUITE 1560, CHICAGO, IL 60603-6191
(312) 939-4121
(312) 939-8011
Mailing address
122 S MICHIGAN AVE, SUITE 1560, CHICAGO, IL 60603-6191
(312) 939-4121
(312) 939-8011
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038010458
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038010458
ST LIC NO
IL
01
—
200765
GROUP MEDICARE PIN
IL
Enumeration date
08/22/2006
Last updated
11/20/2007
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