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Individual

DR. DANIEL JAY BRAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
303 E CHICAGO AVE # 3140W127, CHICAGO, IL 60611-4296
(312) 503-8144
Mailing address
680 N LAKE SHORE DR, CHICAGO, IL 60611-4546
(312) 695-6868

Taxonomy

Speciality
Code
Description
License number
State
207ZN0500X
Neuropathology Physician
Primary
047301
GA
207ZP0101X
Anatomic Pathology Physician
047301
GA

Other

Enumeration date
07/11/2006
Last updated
07/21/2022
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