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Individual
DANIEL JAMES FITZGERALD
Active
Individual
DANIEL JAMES FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036146100
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
05/05/2011
Last updated
09/12/2018
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