Healthcare Provider Details

I. General information

NPI: 1356469803
Provider Name (Legal Business Name): DONN ORIEN HUMPHRIES D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 N ROUTE 31 SUITE F
CRYSTAL LAKE IL
60012
US

IV. Provider business mailing address

4112 CRIMSON DR
HOFFMAN ESTATES IL
60195-1212
US

V. Phone/Fax

Practice location:
  • Phone: 815-356-6080
  • Fax: 815-356-6082
Mailing address:
  • Phone: 847-359-2358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: