Individual
DR. DAN KHAMPRASEUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
530 FULLERTON RD STE B, SWANSEA, IL 62226-2970
(618) 233-3324
(618) 233-4758
Mailing address
530 FULLERTON RD, SUITE B, SWANSEA, IL 62226-2970
(618) 233-3324
(618) 233-4758
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038009696
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038009696
STATE OF ILLINOIS
IL
Enumeration date
06/26/2006
Last updated
04/10/2022
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