Individual
IRINA DANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6225 W TOUHY AVE, CHICAGO, IL 60646-1105
(773) 631-2223
(773) 631-5607
Mailing address
5019 N MOZART ST, CHICAGO, IL 60625-3615
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036125559
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125052971
125052971
IL
Enumeration date
07/20/2007
Last updated
10/30/2020
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