Individual
GREG DALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
611 W PARK STREET, BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
209005469
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28298904A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6447860011
—
IL
Enumeration date
11/21/2006
Last updated
09/18/2025
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