# DANIEL KATZ, M.D., L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225075104
- **Authorized official:** DR. DANIEL KATZ M.D. (PHYSICIAN / OWNER)
- **Authorized official phone:** (630) 718-0200

## Contact information

- **Practice address:** 4696 N MARINE DR, SUITE 5B, CHICAGO, IL 60640-5714
- **Practice address phone:** (773) 564-6090
- **Practice address fax:** (773) 564-6091
- **Mailing address:** 1730 PARK ST, SUITE 101, NAPERVILLE, IL 60563-2688
- **Mailing address phone:** (630) 718-0200
- **Mailing address fax:** (630) 718-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1634876 | BLUE CROSS / BLUE SHIELD | IL |