Individual
MR. DANIEL DAVID KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
907 SUMNER ST, M201, STOUGHTON, MA 02072-3374
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
209-023540
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209023540
IL
367500000X
Certified Registered Nurse Anesthetist
RN2300046
MA
Other
Enumeration date
04/29/2016
Last updated
12/09/2024
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