Individual
MR. DANIEL L. O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW, LSW
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-8387
Mailing address
875 N MOZART ST, CHICAGO, IL 60622-4417
(773) 235-3509
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150010402
IL
Other
Enumeration date
08/21/2008
Last updated
08/21/2008
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