Individual
DAISY NIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
333 N MICHIGAN AVE STE 1120, CHICAGO, IL 60601-4001
(847) 759-9110
(224) 985-2119
Mailing address
1440 RENAISSANCE DR STE 320, PARK RIDGE, IL 60068-1471
(312) 298-9780
(224) 985-2119
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036.146837
IL
Other
Enumeration date
04/10/2014
Last updated
08/23/2022
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