Individual
DR. DANIEL J. SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7430
(630) 355-0450
Mailing address
387 SHUMAN BLVD, SUITE 240W, NAPERVILLE, IL 60563-8450
(630) 355-0450
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036074834
IL
208VP0014X
Interventional Pain Medicine Physician
036074834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036074834
—
IL
Enumeration date
05/30/2006
Last updated
05/10/2017
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