Individual
DR. DANIEL E VERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 W 203RD ST STE 201, OLYMPIA FIELDS, IL 60461-1182
(708) 679-2120
(708) 503-3230
Mailing address
35318 EAGLE WAY, CHICAGO, IL 60678-1353
(317) 528-4800
(317) 865-8319
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036099679
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053761
PALMETTO RR MEDICARE
IL
05
—
036099679
—
IL
01
—
203979060
MEDICARE PTAN -SPI
IL
Enumeration date
10/26/2006
Last updated
05/13/2022
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