Individual
KATHLEEN MARIE DALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
10431 S KEDZIE AVE, CHICAGO, IL 60655-2017
(773) 239-8660
(773) 239-9087
Mailing address
2010 N HARLEM AVE, ELMWOOD PARK, IL 60707-3119
(773) 239-8660
(773) 239-9087
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
01600440
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60010788
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/28/2006
Last updated
04/18/2016
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