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Individual

DR. ELIE CHUKRI DANIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D. P. M.

Contact information

Practice address
530 PARK AVE E, SUITE 204, PRINCETON, IL 61356-3901
(815) 875-2643
(815) 876-2353
Mailing address
PO BOX 147, MENDOTA, IL 61342-0147
(815) 875-2643
(815) 539-3824

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004155
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016004155
IL
01
371225142
TAX ID #
IL
Enumeration date
07/26/2006
Last updated
03/28/2011
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