Kacey, Daniel

Kacey, Daniel is an sole proprietor health care provider with primary practice located at 2525 S Michigan Ave , Chicago IL 60616-2333. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Kacey, Daniel can be contacted via phone (312) 567-2199.

Contact Information

Primary practice address
2525 S Michigan Ave Chicago IL 60616-2333
Phone: (312) 567-2199
Fax: (312) 328-7720
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-064734 Illinois
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 036-064734 Illinois

Profile Details

NPI number 1962498055
LBN Legal business name Kacey, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2005
Last updated Apr 26th, 2021 - about 3 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 1962498055 NPPES
Illinois Other P00125223 RAILROAD MEDICARE
Illinois Other 020052880 RAILROAD MEDICARE
Illinois Other 21622027 RAILROAD MEDICARE
Illinois MEDICAID 036064734 RAILROAD MEDICARE

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