Provider Demographics
NPI:1841457926
Name:DARIN CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:DARIN CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DARIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:618-931-2050
Mailing Address - Street 1:2013 JOHNSON ROAD
Mailing Address - Street 2:SUITE C & D
Mailing Address - City:GRANITE CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62040
Mailing Address - Country:US
Mailing Address - Phone:618-931-2050
Mailing Address - Fax:618-931-2048
Practice Address - Street 1:2013 JOHNSON ROAD
Practice Address - Street 2:SUITE C & D
Practice Address - City:GRANITE CITY
Practice Address - State:IL
Practice Address - Zip Code:62040
Practice Address - Country:US
Practice Address - Phone:618-931-2050
Practice Address - Fax:618-931-2048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-17
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty