Individual
DANIEL SETH MERRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5215 N CALIFORNIA AVE, STE F803, CHICAGO, IL 60625-7014
(773) 878-7555
(773) 878-8545
Mailing address
5215 N CALIFORNIA AVE, STE F803, CHICAGO, IL 60625-7014
(773) 878-7555
(773) 878-8545
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
36088033
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036088033
—
IL
Enumeration date
04/25/2006
Last updated
07/12/2019
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