Provider Demographics
NPI:1164453684
Name:HANCOCK, DARREN D (DC)
Entity Type:Individual
Prefix:DR
First Name:DARREN
Middle Name:D
Last Name:HANCOCK
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 1:5331 W PENSACOLA AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60641-1309
Mailing Address - Country:US
Mailing Address - Phone:773-736-1181
Mailing Address - Fax:773-736-1185
Practice Address - Street 1:3546 N NORA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60634-3617
Practice Address - Country:US
Practice Address - Phone:773-736-1181
Practice Address - Fax:773-736-1185
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor