Individual
MR. CRISTIAN DAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7044 W BERWYN AVE, CHICAGO, IL 60656-1920
(773) 719-1816
Mailing address
5520 N MONT CLARE AVE, CHICAGO, IL 60656-1906
(773) 719-1816
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209022632
IL
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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