Talley, Daniel

Talley, Daniel is an individual health care provider with primary practice located at 1010 Lake St Ste 216 , Oak Park IL 60301-1147. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Talley, Daniel can be contacted via phone (901) 462-1806.

Contact Information

Primary practice address
1010 Lake St Ste 216 Oak Park IL 60301-1147
Phone: (901) 462-1806
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1578170015
LBN Legal business name Talley, Daniel
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2020
Last updated Dec 29th, 2025 - about last year

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 1578170015 NPPES
Illinois Other 14976959 CAQH

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