Individual
DR. DANIEL L MCLACHLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 OGDEN AVE, DOWNERS GROVE, IL 60515-2865
(630) 963-3937
(630) 963-6802
Mailing address
1001 OGDEN AVE, DOWNERS GROVE, IL 60515-2865
(630) 963-3937
(630) 963-6802
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
036059494
IL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
036059494
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036059494
—
IL
01
—
180016786
RAILROAD MEDICARE NUMBER
IL
01
—
2201633
BLUE CROSS BLUE SHIELD #
IL
Enumeration date
01/26/2006
Last updated
06/16/2020
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