Garrison, Daniel Lee

Garrison, Daniel Lee is an individual health care provider with primary practice located at 4025 N Western Ave , Chicago IL 60618-3726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Garrison, Daniel Lee can be contacted via phone (773) 275-7700.

Contact Information

Primary practice address
4025 N Western Ave Chicago IL 60618-3726
Phone: (773) 275-7700
Fax: (773) 279-6504
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036121658 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036121658 Illinois

Profile Details

NPI number 1215913652
LBN Legal business name Garrison, Daniel Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Jun 27th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215913652 NPPES
Illinois Other P00673340 MEDICARE RAILROAD
Illinois MEDICAID 036121658 MEDICARE RAILROAD

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