Individual
JOHN L DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
650 S RANDALL RD, ALGONQUIN, IL 60102-5944
(815) 398-9491
(815) 381-7498
Mailing address
PO BOX 735263, CHICAGO, IL 60673-5263
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036088142
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0040174023
—
IL
01
—
05600228
BLUE CROSS
IL
Enumeration date
08/07/2006
Last updated
07/31/2023
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