Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 125.073572 | IL |
NPI | 1023483369 |
---|---|
Provider Name | Dr. Daniel Aaron Portney |
First Address | Burr Ridge, IL 60527-6686 |
Second Address | Chicago, IL 60637-1465 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2015 |
Last Update Date | 13/05/2019 |