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Dr. Lisa Dejuana Daniel, MD
Obstetrics & Gynecology Physician in Chicago, Illinois
NPI 1982632865

Lisa Dejuana Daniel is a Obstetrics & Gynecology Physician based in Chicago, IL. Lisa Dejuana Daniel practices in Chicago, IL and has the professional credentials of MD. The NPI Number for Lisa Dejuana Daniel is 1982632865 and holds a License No. 036.111457 (Illinois).

The current practice location address for Lisa Dejuana Daniel is 3223 W 63Rd St, Chicago, IL and can be reached out via phone at 773-768-5000 and via fax at 773-778-9593.

Location: 3223 W 63Rd St, Chicago, IL, 60617-4225
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982632865
Provider Name
Lisa Dejuana Daniel
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3223 W 63Rd St, Chicago, IL, 60617-4225
Phone Number
773-768-5000
Fax Number
773-778-9593
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036111457 05 IL
institution
Provider Business Practice Location Address Details
Address
3223 W 63Rd St
City
Chicago
State
Illinois
Zip
60629
Phone Number
773-768-5000
Fax Number
773-778-9593
person
Provider Business Mailing Address Details
Address
3223 W 63Rd St
City
Chicago
State
Illinois
Zip
60629
Phone Number
773-768-5000
Fax Number
773-778-9593
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
036.111457 (Illinois)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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