DR. DANIEL R WYNN (NPI# 1710971700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710971700 |
| Entity Type | Individual |
| Full Name | DR. DANIEL R WYNN |
| Credential | M.D. |
| Practice Address |
1535 Lake Cook Rd Suite 601 Northbrook IL 60062-1447 |
| Practice Telephone | 8475090270 |
| Practice Fax Number | 8475090273 |
| Mailing Telephone | 8475090270 |
| Mailing Fax Number | 8475090273 |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2016-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036076784 | IL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861931735 | Daniel James Wynn I | Counselor | 5115 F Street, Omaha, NE 68117 | 2017-02-13 |
| Street Address |
1535 LAKE COOK RD SUITE 601 |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062-1447 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306849252 | Steven Neal Kacel | Dentist | 1535 Lake Cook Rd, Ste 107, Northbrook, IL 60062-1450 | 2005-05-24 |
| 1841736402 | Audrey Grunst Lcsw | Counselor | 1535 Lake Cook Rd, Sute 303, Northbrook, IL 60062-1447 | 2017-01-06 |
| 1801339684 | Anna Lynn Kreiser | Dietitian, Registered | 1535 Lake Cook Rd, Suite 303, Northbrook, IL 60062-1447 | 2016-11-28 |
| 1528476694 | Jennifer Mandell | Specialist | 1535 Lake Cook Rd, 112, Northbrook, IL 60062-1447 | 2014-08-01 |
| 1003248378 | Break4health | Health Maintenance Organization | 1535 Lake Cook Rd, #112, Northbrook, IL 60062-1447 | 2013-08-08 |
| 1629315288 | Monica Michelle Bullock | Counselor | 1535 Lake Cook Rd, Suite 303, Northbrook, IL 60062-1447 | 2013-01-15 |
| 1164768073 | Jill Perez | Counselor | 1535 Lake Cook Rd, Northbrook, IL 60062-1447 | 2012-12-20 |
| 1740540178 | Michael A. Epstein Md Sc | Specialist | 1535 Lake Cook Rd, Suite 211, Northbrook, IL 60062-1447 | 2012-05-18 |
| 1558629212 | David I. Rosen, M.d. Ltd | Internal Medicine | 1535 Lake Cook Rd, 401, Northbrook, IL 60062-1447 | 2012-05-01 |
| 1184934523 | Beth W. Ross | Counselor | 1535 Lake Cook Rd, Suite 111, Northbrook, IL 60062-1447 | 2010-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265489140 | Muhammad Najjar | Psychiatry & Neurology | 1535 Lake Cook Rd Ste 206, Northbrook, IL 60062-1451 | 2006-05-27 |
| 1861467755 | Steven M Zak | Psychiatry & Neurology | 1403 Kingsport Ct, Northbrook, IL 60062-5100 | 2006-02-22 |
| 1750377743 | Ruth B Rosenthal | Psychiatry & Neurology | 606 Academy Dr, Northbrook, IL 60062-2421 | 2005-09-23 |
| 1912261108 | Quality Nerve Conduction Velocities | Psychiatry & Neurology | 1901 Raymond Dr, Suite 19, Northbrook, IL 60062-6720 | 2012-07-02 |
| 1447286661 | Diagnostic and Developmental Center | Psychiatry & Neurology | 1535 Lake Cook Rd, Suite 206, Northbrook, IL 60062-1447 | 2006-06-23 |
| 1255325023 | Neil Allen | Psychiatry & Neurology | 1535 Lake Cook Rd, Suite 601, Northbrook, IL 60062-1447 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on DR. DANIEL R WYNN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.