Individual
DR. DANIEL R PITTERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
(630) 856-3075
Mailing address
500 REMINGTON BLVD, BOLINGBROOK, IL 60440-4906
(630) 856-3075
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
01061658A
IN
207L00000X
Anesthesiology Physician
036092845
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399980
GROUP MEDICARE PTAN
IL
Enumeration date
08/22/2006
Last updated
03/06/2025
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