Nepomuceno, Daniel Joseph

Nepomuceno, Daniel Joseph is an individual health care provider with primary practice located at 4309 W Medical Center Dr Ste B305 , Mchenry IL 60050-8418. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Nepomuceno, Daniel Joseph can be contacted via phone (847) 802-7400.

Contact Information

Primary practice address
4309 W Medical Center Dr Ste B305 Mchenry IL 60050-8418
Phone: (847) 802-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036086851 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036086851 Illinois

Profile Details

NPI number 1366435513
LBN Legal business name Nepomuceno, Daniel Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Sep 3rd, 2020 - about 6 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 1366435513 NPPES
Illinois MEDICAID 036086851

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