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Darrell Brayboy, L.AC

NPI 1912136300 · on the registry since 2009 · sole proprietor

Practice

Address
1162 Terrace Ct
Glencoe, IL 60022
Phone
(847) 242-0927
Fax
(847) 242-0928

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2009-07-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois