Individual
DANAIL VATEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7035 W GRAND AVE, CHICAGO, IL 60707-2143
(773) 385-8031
(773) 385-8035
Mailing address
7035 W GRAND AVE, CHICAGO, IL 60707-2143
(773) 385-8031
(773) 385-8035
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036091320
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036091320
—
IL
Enumeration date
11/21/2006
Last updated
07/08/2007
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