Individual
DANIEL JOSEPH NEPOMUCENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4309 W MEDICAL CENTER DR STE B305, MCHENRY, IL 60050-8418
(847) 802-7400
Mailing address
4309 W MEDICAL CENTER DR STE B305, MCHENRY, IL 60050-8418
(847) 802-7400
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036086851
IL
207RP1001X
Pulmonary Disease Physician
Primary
036086851
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036086851
—
IL
Enumeration date
08/23/2005
Last updated
09/03/2020
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