Individual
MILTON DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
O36-048434
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021609983
BLUE CROSS BS
IL
01
—
O36048434
LICENSE
IL
05
—
O36048434
—
IL
Enumeration date
10/20/2006
Last updated
03/04/2013
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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