Vera, Daniel E

Vera, Daniel E is an individual health care provider with primary practice located at 3700 W 203Rd St Ste 201 , Olympia Fields IL 60461-1182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vera, Daniel E can be contacted via phone (708) 679-2120.

Contact Information

Primary practice address
3700 W 203Rd St Ste 201 Olympia Fields IL 60461-1182
Fax: (708) 503-3230
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036099679 Illinois

Profile Details

NPI number 1851476212
LBN Legal business name Vera, Daniel E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated May 13th, 2022 - 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 1851476212 NPPES
Illinois Other 020053761 PALMETTO RR MEDICARE
Illinois MEDICAID 036099679 PALMETTO RR MEDICARE
Illinois Other 203979060 PALMETTO RR MEDICARE

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