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Individual

DANIEL G DANAHEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD

Contact information

Practice address
430 PENNSYLVANIA AVE, STE 330, GLEN ELLYN, IL 60137-4464
(630) 469-9200
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036102915
IL
207YS0123X
Facial Plastic Surgery Physician
036102915
IL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
036102915
IL
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
036102915
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036102915
IL
Enumeration date
12/23/2005
Last updated
08/04/2023
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