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Individual
DANIEL KACEY
Active
Individual
DANIEL KACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
036-064734
IL
2086S0102X
Surgical Critical Care Physician
Primary
036-064734
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020052880
RAILROAD MEDICARE
IL
05
—
036064734
—
IL
01
—
21622027
BCBS PROVIDER ID
IL
01
—
P00125223
RAILROAD MEDICARE
IL
Enumeration date
09/23/2005
Last updated
04/26/2021
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