Provider Demographics
NPI:1538265988
Name:ORMAN, DANIEL W (DC)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:W
Last Name:ORMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5833 W. DEMPSTER ST
Mailing Address - Street 2:
Mailing Address - City:MORTON GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60053
Mailing Address - Country:US
Mailing Address - Phone:847-967-0101
Mailing Address - Fax:847-967-6889
Practice Address - Street 1:6315 DEMPSTER ST
Practice Address - Street 2:
Practice Address - City:MORTON GROVE
Practice Address - State:IL
Practice Address - Zip Code:60053-2848
Practice Address - Country:US
Practice Address - Phone:847-967-0101
Practice Address - Fax:847-967-6889
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038-005601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1682675OtherBCBS GROUP
IL350054367OtherMEDICARE RAIL ROAD
IL0071645882OtherBCBS
IL200321Medicare ID - Type UnspecifiedGRP
IL0071645882OtherBCBS
T38557Medicare UPIN