Individual
DR. MARK DARYL MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
219 S KENILWORTH AVE APT 2F, OAK PARK, IL 60302-3115
(316) 708-3763
Mailing address
219 S KENILWORTH AVE APT 2F, OAK PARK, IL 60302-3115
(316) 708-3763
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125055339
IL
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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