Individual
DANIEL P MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3700 W 203RD ST, OLYMPIA FIELDS, IL 60461-1180
(708) 679-2029
(708) 422-7816
Mailing address
3700 W 203RD ST, OLYMPIA FIELDS, IL 60461-1180
(708) 679-2029
(708) 422-7816
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036090519
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036090519
—
IL
Enumeration date
07/13/2006
Last updated
06/25/2013
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