Individual
DR. CALEB ALBERT DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1925 HUNTLEY RD, WEST DUNDEE, IL 60118
(815) 338-6600
(847) 426-5162
Mailing address
1925 HUNTLEY RD, WEST DUNDEE, IL 60118-9301
(815) 338-6600
(847) 426-5162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125063887
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036139320
STATE LICENSE
IL
Enumeration date
06/24/2013
Last updated
10/19/2018
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