Individual
DR. DANIEL ARTHUR LACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5N445 BILLY BURNS RD, BOX 449, WAYNE, IL 60184-2116
(630) 513-1608
(630) 513-1882
Mailing address
5N445 BILLY BURNS RD, P.O. BOX 449, WAYNE, IL 60184-2116
(630) 513-1608
(630) 513-1882
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036075927
IL
Other
Enumeration date
12/20/2011
Last updated
12/20/2011
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