Individual
DR. DANIEL A IVANKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 N FRANCISCO AVE STE 203, CHICAGO, IL 60622-2743
(312) 527-6500
(800) 281-6952
Mailing address
2516 WAUKEGAN RD # 183, GLENVIEW, IL 60025-1774
(773) 675-9900
(800) 281-6952
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-105713
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105713
—
IL
Enumeration date
05/05/2006
Last updated
04/26/2019
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