Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 036149025 | IL |
N | 207X00000X | Orthopaedic Surgeon | 4301105126 | MI |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 036149025 | IL |
NPI | 1477971679 |
---|---|
Provider Name | Daniel Mark Briggs |
First Address | Lake Forest, IL 60045-1658 |
Second Address | Lake Forest, IL 60045-1658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2014 |
Last Update Date | 23/06/2021 |