Individual
DR. DANIEL R WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1535 LAKE COOK RD, SUITE 601, NORTHBROOK, IL 60062-1447
(847) 509-0270
(847) 509-0273
Mailing address
1535 LAKE COOK RD, SUITE 601, NORTHBROOK, IL 60062-1447
(847) 509-0270
(847) 509-0273
Taxonomy
Speciality
Code
Description
License number
State
2084E0001X
Epilepsy Physician
036076784
IL
2084N0400X
Neurology Physician
036-076784
IL
2084N0400X
Neurology Physician
Primary
036076784
IL
2084N0600X
Clinical Neurophysiology Physician
036-076784
IL
Other
Enumeration date
09/06/2005
Last updated
02/05/2025
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