Individual
DR. LEVI DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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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