Individual
DR. DANIEL JOHN DEZIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 W HARRISON, SUITE 810, CHICAGO, IL 60612-3828
(312) 942-6500
(312) 563-2080
Mailing address
1725 W HARRISON, SUITE 810, CHICAGO, IL 60612-3828
(312) 942-6500
(312) 563-2080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36061749
IL
Other
Enumeration date
11/21/2006
Last updated
07/14/2010
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