Individual
DR. DANILO ANGELES DEANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 W DIVISION ST, SUITE # 300, CHICAGO, IL 60622-2717
(773) 292-9791
(773) 292-9792
Mailing address
4643 N CLARK ST, CHICAGO, IL 60640-4619
(773) 989-1099
(773) 989-1925
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036046873
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623617
BCBS IL DEANO MEDICAL ASS
IL
05
—
036046873
—
IL
01
—
060065883
RRCARE WICKER PARK HEART
—
01
—
1630322
BCBS IL WICKER PARK HEART
IL
01
—
791061528
RRCARE DEANO MEDICAL ASSO
—
Enumeration date
09/14/2006
Last updated
09/21/2011
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