Provider Demographics
NPI:1326556861
Name:HUGHES, DANIELLE MARIE FRYE (DC)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:MARIE FRYE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:DANIELLE
Other - Middle Name:MARIE
Other - Last Name:FRYE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:825 E GOLF RD STE 1147
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-5707
Mailing Address - Country:US
Mailing Address - Phone:309-231-0886
Mailing Address - Fax:
Practice Address - Street 1:825 E GOLF RD STE 1147
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005
Practice Address - Country:US
Practice Address - Phone:309-231-0886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2019-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3072111N00000X
IL038.013307111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor