Individual
JOSEPH P MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 794-8620
Mailing address
1010 EXECUTIVE DR STE 250, WESTMONT, IL 60559-6137
(630) 323-6116
(630) 794-8620
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PENDING
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
ILLINOIS PA LICENSE
IL
Enumeration date
11/25/2019
Last updated
11/25/2019
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