Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207W00000X | Ophthalmologist | 036-092973 | IL |
Y | 207WX0107X | Retina Specialist | 036092973 | IL |
NPI | 1033184528 |
---|---|
Provider Name | Dr. Daniel C Alter |
First Address | Des Plaines, IL 60016-6850 |
Second Address | Des Plaines, IL 60016 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/02/2006 |
Last Update Date | 20/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
36092973 | (05) | IL |
F93522 | (02) |