Fitzgerald, Daniel James

Fitzgerald, Daniel James is an individual health care provider with primary practice located at 12935 Gregory St , Blue Island IL 60406. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fitzgerald, Daniel James can be contacted via phone (708) 597-2000.

Contact Information

Primary practice address
12935 Gregory St Blue Island IL 60406
Phone: (708) 597-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036146100 Illinois

Profile Details

NPI number 1093007221
LBN Legal business name Fitzgerald, Daniel James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2011
Last updated Sep 12th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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