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
Phone: (708) 679-2120
Fax: (708) 503-3230
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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