Individual
DANIEL LAVERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-7100
Mailing address
909 N LEAVITT ST APT 3F, CHICAGO, IL 60622-7114
(815) 274-7774
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041455072
IL
367500000X
Certified Registered Nurse Anesthetist
28290977A
IN
Other
Enumeration date
07/31/2023
Last updated
10/31/2025
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