Merrick, Daniel Seth

Merrick, Daniel Seth is an individual health care provider with primary practice located at 5215 N California Ave Ste F803, Chicago IL 60625-7014. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Merrick, Daniel Seth can be contacted via phone (773) 878-7555.

Contact Information

Primary practice address
5215 N California Ave Ste F803 Chicago IL 60625-7014
Phone: (773) 878-7555
Fax: (773) 878-8545
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 36088033 Illinois

Profile Details

NPI number 1184680654
LBN Legal business name Merrick, Daniel Seth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Jul 12th, 2019 - about 5 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 1184680654 NPPES
Illinois MEDICAID 036088033

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