Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0204X | Pediatric Emergency Doctor | IL |
NPI | 1285717751 |
---|---|
Provider Name | Dr. Susan Jean Daley |
First Address | Chicago, IL 60614-3394 |
Second Address | Chicago, IL 60614-3394 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 08/07/2007 |