Kirk, James Daniel

Kirk, James Daniel is an individual health care provider with primary practice located at 6230 Main St , Downers Grove IL 60516-1908. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Kirk, James Daniel can be contacted via phone (630) 960-9914.

Contact Information

Primary practice address
6230 Main St Downers Grove IL 60516-1908
Fax: (630) 960-9924
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038-010069 Illinois

Profile Details

NPI number 1780750356
LBN Legal business name Kirk, James Daniel
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2006
Last updated Aug 27th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780750356 NPPES
Illinois Other 2221717 BCBS ID

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