Individual
MARIA M DAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
2007 95TH ST, NAPERVILLE, IL 60564-8459
(630) 646-6953
Mailing address
546 WHITTIER AVE, GLEN ELLYN, IL 60137-4767
(920) 207-9414
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005036
IL
363A00000X
Physician Assistant
PA21475
CA
363AM0700X
Medical Physician Assistant
PA06301
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA06301
LICENSE
TX
Enumeration date
08/17/2009
Last updated
08/25/2014
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