Individual
DANIEL L PICCHIETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 W PARK ST, SLEEP MEDICINE, URBANA, IL 61801-2500
(217) 383-3190
(217) 383-7117
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2500
(217) 383-6792
(217) 383-7117
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036062303
IL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
Primary
036062303
IL
Other
Enumeration date
08/09/2006
Last updated
03/13/2015
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