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Individual

DANIEL R SCHMELKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
911 N ELM ST, 128, HINSDALE, IL 60521-3634
(630) 856-7460
Mailing address
911 N ELM ST, 128, HINSDALE, IL 60521-3634

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036098615
IL
2085R0202X
Diagnostic Radiology Physician
46850
MN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036098615
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
657691500
MN
Enumeration date
09/27/2006
Last updated
09/22/2015
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