Individual
DR. MARK V DANIELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 UNO CIR, JOLIET, IL 60435-6653
(815) 725-2277
(815) 725-7870
Mailing address
2 UNO CIR, JOLIET, IL 60435-6653
(815) 725-2277
(815) 725-7870
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
036072694
IL
208600000X
Surgery Physician
Primary
036072694
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020047471
RRMC
IL
05
—
036072694
—
IL
Enumeration date
02/10/2006
Last updated
12/12/2016
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