Individual
DR. LEVI DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
036170351
IL
2086S0127X
Trauma Surgery Physician
Primary
036170351
IL
Other
Enumeration date
03/18/2017
Last updated
10/24/2024
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