Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 213.000061 | IL |
N | 222Z00000X | Podiatrist | 213.000061 | IL |
Y | 224P00000X | Prosthetist | 211.000048 | IL |
NPI | 1487155453 |
---|---|
Provider Name | Mr. Daniel David Hasso |
First Address | Oakbrook Terrace, IL 60181-3985 |
Second Address | Naperville, IL 60563-0150 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2018 |
Last Update Date | 26/02/2018 |