Individual
DR. DANIEL OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
(309) 655-3863
Mailing address
530 NE GLEN OAK AVE, PEORIA, IL 61637-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.068649
IL
207R00000X
Internal Medicine Physician
Primary
34.014426
OH
208000000X
Pediatrics Physician
125.068649
IL
Other
Enumeration date
06/07/2016
Last updated
09/13/2020
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