Individual
DANIEL JAMES FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12935 GREGORY ST, BLUE ISLAND, IL 60406
(708) 597-2000
Mailing address
METROSOUTH MEDICAL CENTER, 12935 S GREGORY ST, BLUE ISLAND, IL 60406
(708) 597-2000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036146100
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2011
Last updated
09/12/2018
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