Individual
DANIEL ENRIQUE MAIDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
17 BIGELOW ST APT A, CAMBRIDGE, MA 02139-2301
(857) 259-9144
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
036.154429
IL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
036.154429
IL
Other
Enumeration date
06/06/2018
Last updated
10/25/2021
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