Surowiec, Daniel C

Surowiec, Daniel C is an individual health care provider with primary practice located at 1870 W Winchester Rd Ste 246 , Libertyville IL 60048-5360. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Surowiec, Daniel C can be contacted via phone (847) 816-3156.

Contact Information

Primary practice address
1870 W Winchester Rd Ste 246 Libertyville IL 60048-5360
Fax: (847) 816-9724
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-005218 Illinois

Profile Details

NPI number 1821001520
LBN Legal business name Surowiec, Daniel C
Credentials DPM, MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Dec 15th, 2021 - about 4 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 1821001520 NPPES
Illinois MEDICAID 016004254

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