Individual
CARRIE DALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
420 W BUTTERFIELD RD, ELMHURST, IL 60126-4980
(630) 310-6505
(331) 221-2706
Mailing address
1200 S YORK ST STE 2000, ELMHURST, IL 60126-5634
(331) 221-5678
(331) 221-2706
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209004567
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
421533176001
—
IL
Enumeration date
07/29/2014
Last updated
04/09/2021
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