Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | IL |
NPI | 1043215718 |
---|---|
Provider Name | Dr. Mark F Daniels |
First Address | Chicago, IL 60674-0018 |
Second Address | Naperville, IL 60540-6552 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C37148 | (02) | IL |