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Individual

DANIEL GUILLERMO DAVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(847) 234-4310
(847) 234-4336
Mailing address
800 N WESTMORELAND RD STE 100, LAKE FOREST, IL 60045-1671
(847) 234-4310
(847) 234-4336

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036150641
IL
208600000X
Surgery Physician
080171
GA
208600000X
Surgery Physician
61656-20
WI

Other

Enumeration date
03/28/2012
Last updated
03/06/2023
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