Individual
DENNYS OMAR VERA DANER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1501 S CALIFORNIA AVE, FAMILY MEDICINE DEPARTMENT, CHICAGO, IL 60608-1732
(773) 257-6097
Mailing address
1501 S CALIFORNIA AVE, FAMILY MEDICINE DEPARTMENT, CHICAGO, IL 60608-1732
(773) 257-6097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036138145
IL
207Q00000X
Family Medicine Physician
125062327
IL
Other
Enumeration date
03/16/2013
Last updated
04/25/2023
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