Individual
DANIEL SUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3105 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 902-2100
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036155569
IL
390200000X
Student in an Organized Health Care Education/Training Program
4301501585
MI
Other
Enumeration date
04/15/2015
Last updated
02/17/2022
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