Individual
GREGORY DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
6187 ARCHER AVE, SUITE 103, CHICAGO, IL 60638-2747
(773) 581-1500
(773) 581-2160
Mailing address
6187 ARCHER AVE, SUITE 103, CHICAGO, IL 60638-2747
(773) 581-1500
(773) 581-2160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36052957
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052957
—
IL
01
—
080008227
RAILROAD IND PROV #
IL
01
—
CL4550
RAILROAD GROUP #
IL
Enumeration date
07/12/2005
Last updated
12/15/2009
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