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Dr. Ryan Thomas Durocher, DC
Chiropractor in Springfield, Illinois
NPI 1871593350

Ryan Thomas Durocher is a Chiropractor based in Springfield, IL. Ryan Thomas Durocher practices in Springfield, IL and has the professional credentials of DC. The NPI Number for Ryan Thomas Durocher is 1871593350 and holds a License No. 038-009110 (Illinois).

The current practice location address for Ryan Thomas Durocher is 3608 Carnoustie Dr, Springfield, IL and can be reached out via phone at 217-622-6161.

Location: 3608 Carnoustie Dr, Springfield, IL, 62712-5555
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871593350
Provider Name
Ryan Thomas Durocher
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
3608 Carnoustie Dr, Springfield, IL, 62712-5555
Phone Number
217-622-6161
Fax Number
Provider Enumeration Date
07/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08432102 01 IL BCBS
P00331729 01 IL RAILROAD MEDICARE
666373 01 IL UNITED HEALTHCARE
institution
Provider Business Practice Location Address Details
Address
3608 Carnoustie Dr
City
Springfield
State
Illinois
Zip
62712-5555
Phone Number
217-622-6161
Fax Number
person
Provider Business Mailing Address Details
Address
3608 Carnoustie Dr
City
Springfield
State
Illinois
Zip
62712-5555
Phone Number
217-622-6161
Fax Number
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
038-009110 (Illinois)
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
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