Individual
DANIEL JOSEPH IZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3908 ELM ST, DOWNERS GROVE, IL 60515-2119
(639) 391-8322
Mailing address
3908 ELM ST, DOWNERS GROVE, IL 60515-2119
(639) 391-8322
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
085.008027
IL
363A00000X
Physician Assistant
Primary
085.008027
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2020
Last updated
10/30/2020
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