Mccormick, Daniel P

Mccormick, Daniel P is an individual health care provider with primary practice located at 3700 W 203Rd St , Olympia Fields IL 60461-1180. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mccormick, Daniel P can be contacted via phone (708) 679-2029.

Contact Information

Primary practice address
3700 W 203Rd St Olympia Fields IL 60461-1180
Phone: (708) 679-2029
Fax: (708) 422-7816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036090519 Illinois

Profile Details

NPI number 1992720320
LBN Legal business name Mccormick, Daniel P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jun 25th, 2013 - about 12 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 1992720320 NPPES
Illinois MEDICAID 036090519

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