Individual
DANIEL SEBASTIAN MEDINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(800) 600-2273
Mailing address
808 S WOOD ST, CHICAGO, IL 60612-7300
(312) 413-0696
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
125.078801
IL
Other
Enumeration date
03/25/2021
Last updated
06/11/2021
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