Individual
ALICE DANIELS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7000 W 111TH ST, SUITE 210, WORTH, IL 60482-1851
(708) 660-3200
Mailing address
7000 W 111TH ST, SUITE 210, WORTH, IL 60482-1851
(708) 660-3200
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Enumeration date
05/05/2006
Last updated
07/08/2007
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