Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 038-009583 | IL |
NPI | 1003845959 |
---|---|
Provider Name | Dr. Dylan P Drynan |
First Address | Chicago, IL 60616-4733 |
Second Address | Chicago, IL 60616-4732 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/07/2006 |
Last Update Date | 06/07/2017 |