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DANIEL ILYA WOLFSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
(312) 942-0312
Mailing address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
(312) 942-0312

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
125.075801
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/06/2020
Last updated
07/11/2020
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