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NPI Code Detail

MEDICARE: DANIEL MARC VANDERWEIT D.C.

MEDICARE:   DANIEL MARC VANDERWEIT  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor5539-12WI
2111N00000XChiropractor038009156IL

General Provider Information

NPI Number : 1588669618
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL MARC VANDERWEIT D.C.
Provider Business Mailing Address
First Line : 314 W ROLLINS RD
Second Line : STE B
City : ROUND LAKE BEACH
State : IL
Zip : 60073-1204
Country : US
Telephone Number : 847-508-3789
Fax Number :
Provider Business Practice Location Address
First Line : 314 W ROLLINS RD
Second Line : STE B
City : ROUND LAKE BEACH
State : IL
Zip : 60073-1204
Country : US
Telephone Number : 847-508-3789
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2005
Last Update Date : 12/29/2023

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Directions to “ DANIEL MARC VANDERWEIT D.C.” Practice Location

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