MR. DARRELL DAVID BRAYBOY (NPI# 1912136300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912136300 |
| Entity Type | Individual |
| Full Name | MR. DARRELL DAVID BRAYBOY |
| Credential | L.AC. |
| Practice Address |
1162 Terrace Ct Glencoe IL 60022-1241 |
| Practice Telephone | 8472420927 |
| Practice Fax Number | 8472420928 |
| Mailing Telephone | 8472420927 |
| Mailing Fax Number | 8472420928 |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171100000X | Acupuncturist | 198000465 | IL | Other Service Providers |
| Street Address |
1162 TERRACE CT |
| City | GLENCOE |
| State | IL |
| Zip Code | 60022-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528406188 | Lauren J Schneider | Chiropractor | 378 Park Avenue, Suite 1d, Glencoe, IL 60022 | 2013-06-05 |
| 1356689897 | Christopher L. Johnston | Counselor | 706 Green Bay Road, Suite 3, Glencoe, IL 60022 | 2013-01-17 |
| 1447533039 | Inna Serman | Pharmacist | 63 N Greenbay Rd, Glenco, IL 60022 | 2011-09-21 |
| 1023263084 | Jacqueline Kessler-santiccioli | Speech-Language Pathologist | 725 Apple Tree Lane, Glencoe, IL 60022 | 2008-11-18 |
| 1639385628 | Michael P Bobrow | Dentist | 630 Vernon Ave, Suite C Lakeshore Dental Inc, Glencoe, IL 60022 | 2007-05-15 |
| 1073738423 | Meg Racenstein | Clinical Neuropsychologist | 630 N. Vernon Ave., Suite G, Glencoe, IL 60022 | 2007-04-13 |
| 1073650479 | Jerome Meyer Grunes | Psychiatry & Neurology | 110 Dell Place, Glencoe, IL 60022 | 2007-02-01 |
| 1457428740 | Anne Rousseau Douglas | Marriage & Family Therapist | 190 Maple Hill Road, Glencoe, IL 60022 | 2006-11-29 |
| 1194891952 | Shona Angle | Social Worker | 755 Greenwood Avenue, Glencoe, IL 60022 | 2006-11-25 |
| 1407932379 | Brooke Kayman Fox | Social Worker | 850 North Milwaukee Avenue, Suite 209, Vernon Hills, IL 60022 | 2006-10-31 |
| Find all providers in zip 60022 | ||||
| Taxonomy Code | 171100000X |
| Grouping | Other Service Providers |
| Classification | Acupuncturist |
| An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920759 | Burdock & Clove Wellness LLC | Acupuncturist | 2052 W Addison St # 2, Chicago, IL 60618-6126 | 2020-10-23 |
| 1588279178 | Jaclyn Krizek | Acupuncturist | 5006 Main St, Downers Grove, IL 60515-3643 | 2020-09-10 |
| 1033723432 | Chona Estacio | Acupuncturist | 209 Whitewater Dr, Bolingbrook, IL 60440-1744 | 2020-09-02 |
| 1750992442 | Madalen Brooks | Acupuncturist | 1601 Sherman Ave Ste 200, Evanston, IL 60201-5044 | 2020-08-14 |
| 1164033361 | Donna Weisensel | Acupuncturist | 4708 Southhampton Dr, Island Lake, IL 60042-8470 | 2020-08-11 |
| 1700404035 | Kunevich Chiropractic and Acupuncture, Pllc | Acupuncturist | 13 S Main St Ste 3, Smithton, IL 62285-1705 | 2020-07-13 |
| 1053938571 | Anna Maria Degrassi-kalkis | Acupuncturist | 18700 Wolf Rd Ste 211, Mokena, IL 60448-8603 | 2020-06-30 |
| 1134746928 | Irene Joy Walters | Acupuncturist | 11901 S 80th Ave Ste 1, Palos Park, IL 60464-3107 | 2020-06-29 |
| 1932726767 | Crystalyn Gembala Sehr | Acupuncturist | 1191 E Higgins Rd Ste 201, Elk Grove Village, IL 60007-1563 | 2020-06-27 |
| 1689291684 | Erin Ryan | Acupuncturist | 457 Coventry Ln Ste 122, Crystal Lake, IL 60014-7571 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.