Individual
DANIEL THOMAS O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7435 W TALCOTT AVE, CHICAGO, IL 60631
(773) 792-7921
Mailing address
7435 W TALCOTT AVE, CHICAGO, IL 60631-3707
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02006688A
IN
207P00000X
Emergency Medicine Physician
Primary
036157306
IL
207P00000X
Emergency Medicine Physician
125-071881
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/07/2018
Last updated
04/25/2022
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