Provider Demographics
NPI:1083880595
Name:DARIN, CHRISTINA MARIE (DC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:MARIE
Last Name:DARIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 JOHNSON ROAD
Mailing Address - Street 2:SUITE C & D
Mailing Address - City:GRANITE CITY
Mailing Address - State:IL
Mailing Address - Zip Code:62040
Mailing Address - Country:US
Mailing Address - Phone:618-931-2050
Mailing Address - Fax:618-931-2048
Practice Address - Street 1:2013 JOHNSON ROAD
Practice Address - Street 2:SUITE C & D
Practice Address - City:GRANITE CITY
Practice Address - State:IL
Practice Address - Zip Code:62040
Practice Address - Country:US
Practice Address - Phone:618-931-2050
Practice Address - Fax:618-931-2048
Is Sole Proprietor?:No
Enumeration Date:2008-05-05
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011161111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor