Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 036102915 | IL |
N | 207YS0123X | Facial Plastic Surgeon | 036102915 | IL |
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 036102915 | IL |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 036102915 | IL |
NPI | 1063499754 |
---|---|
Provider Name | Daniel G Danahey |
First Address | Chicago, IL 60674-0001 |
Second Address | Glen Ellyn, IL 60137-4464 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/12/2005 |
Last Update Date | 31/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036102915 | (05) | IL |