Individual
DR. DANIEL LEE GARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4025 N WESTERN AVE, CHICAGO, IL 60618-3726
(773) 275-7700
(773) 279-6504
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-5114
(847) 390-5900
(630) 856-9933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036121658
IL
208M00000X
Hospitalist Physician
036121658
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121658
—
IL
01
—
P00673340
MEDICARE RAILROAD
IL
Enumeration date
12/19/2005
Last updated
06/27/2022
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