Individual
ELLEN DAILY STEPHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1725 W HARRISON ST STE 117, CHICAGO, IL 60612-3848
(312) 942-6296
Mailing address
1725 W HARRISON ST STE 117, CHICAGO, IL 60612-3848
(312) 942-6296
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.072452
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
036.155856
IL
Other
Enumeration date
06/10/2018
Last updated
08/09/2021
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