Individual
DR. DANIEL C SUROWIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, MS
Contact information
Practice address
1870 W WINCHESTER RD STE 246, LIBERTYVILLE, IL 60048-5360
(847) 816-3156
(847) 816-9724
Mailing address
1200 N GREEN BAY RD, WAUKEGAN, IL 60085-2246
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016-005218
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004254
—
IL
Enumeration date
08/14/2006
Last updated
12/15/2021
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