Individual
MR. DARRELL DAVID BRAYBOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
1162 TERRACE CT, GLENCOE, IL 60022-1241
(847) 242-0927
(847) 242-0928
Mailing address
1162 TERRACE CT, GLENCOE, IL 60022-1241
(847) 242-0927
(847) 242-0928
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000465
IL
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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