Provider Demographics
NPI:1629024518
Name:DEARINGER, NANCY DIANNE (DC)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:DIANNE
Last Name:DEARINGER
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 1:820 N ORLEANS ST
Mailing Address - Street 2:SUITE 345
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-3132
Mailing Address - Country:US
Mailing Address - Phone:312-467-0678
Mailing Address - Fax:312-467-0962
Practice Address - Street 1:820 N ORLEANS ST
Practice Address - Street 2:SUITE 345
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-3132
Practice Address - Country:US
Practice Address - Phone:312-467-0678
Practice Address - Fax:312-467-0962
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2007-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1617703OtherBLUE CROSS BLUE SHIELD