DR. LISA DEJUANA DANIEL (NPI# 1982632865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982632865 |
| Entity Type | Individual |
| Full Name | DR. LISA DEJUANA DANIEL |
| Credential | M.D. |
| Practice Address |
3223 W 63rd St Chicago IL 60629 |
| Mailing Address |
9119 S Exchange Ave Chicago IL 60617-4225 |
| Practice Telephone | 7737685000 |
| Practice Fax Number | 7737789593 |
| Mailing Telephone | 7737685000 |
| Mailing Fax Number | 7737687706 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2018-06-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 036.111457 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036111457 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 120 W 111th St, Chicago, IL 606284215 | 7737685000 | 7738165090 |
| 9119 S Exchange Ave, Chicago, IL 606174225 | 7737685000 | 7737687706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386051399 | Lisa Daniel | Dentist | 14203 Village Manor Ct, Upper Marlboro, MD 20774-8581 | 2014-07-22 |
| 1477171080 | Lisa Daniel | Peer Specialist | 808 Fir St, T Or C, NM 87901-1724 | 2020-07-09 |
| 1215200225 | Lisa M Daniel | Behavioral Analyst | 1625 Adventureland Dr, Suite B, Altoona, IA 50009-2237 | 2012-02-22 |
| 1568734945 | Lisa J Daniel | Counselor | 204 Cook Rd, Lebanon, OH 45036-9600 | 2012-02-01 |
| 1659526143 | Lisa Ann Daniel | Dental Hygienist | 100 Lake Traverse Dr, Sisseton, SD 57262-7046 | 2008-11-25 |
| 1245363266 | Lisa Allison Daniel | Social Worker | 1820 Memorial Dr Ste 101, Suite 3, Clarksville, TN 37043-4693 | 2007-03-13 |
| 1457443491 | Lisa B. Daniel | Optometrist | 1955 Opelika Rd, Auburn, AL 36830-2811 | 2006-09-28 |
| 1356445860 | Lisa Daniel | Emergency Medicine | 4000 Kresge Way, Louisville, KY 40207-4605 | 2006-09-13 |
| 1922116078 | Lisa Daniel | Social Worker | 10710 Old Highway 64, Bolivar, TN 38008-3587 | 2006-08-28 |
| 1235190778 | Lisa Ann Daniel | Registered Nurse | 2825 Randolph Rd, Charlotte, NC 28211-1018 | 2006-03-31 |
| Street Address |
3223 W 63RD ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114358033 | Graham Phelps | Nurse Practitioner | 3223 W 63rd St, Chicago, IL 60629-3333 | 2013-12-02 |
| 1497097596 | Chicago Family Health Center - L | Clinic/Center | 3223 W 63rd St, Chicago, IL 60629-3333 | 2013-03-27 |
| 1790095461 | Aminah Kamaria Harris | Dentist | 3223 W 63rd St, Chicago, IL 60629-3333 | 2010-10-15 |
| 1992953152 | Diane Thomas | Nurse Practitioner | 3223 W 63rd St, Chicago, IL 60629-3333 | 2008-08-29 |
| 1578665808 | Cia-mattae Saunsiderae Sevier | Family Medicine | 3223 W 63rd St, Chicago, IL 60629-3333 | 2006-09-05 |
| 1477660751 | Victorino S Yu, Md Sc | Internal Medicine | 3223 W 63rd St, Chicago, IL 60629-3333 | 2006-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053946392 | T & M Care LLC | In Home Supportive Care | 7230 S Talman, Apt 4, Chicago, IL 60629 | 2020-03-06 |
| 1841847811 | Jacqueline Ann Milton | Technician | 6720 South Keating, Chicago, IL 60629 | 2019-08-23 |
| 1194202085 | Andrea Mosqueda | Counselor | 4217 W 59th St, Chicago, IL 60629 | 2018-07-23 |
| 1316439235 | Saliha Awais | Dentist | 5521 S. Kedzie Ave. Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1356833255 | Irfana Ilyas | Dentist | 2403,5521 S Kedzie Ave, Suite 105, Chicago, IL 60629 | 2018-06-06 |
| 1427547538 | Holy Cross Hospital | Psychiatric Unit | 2701 West 68th Street, Chicago, IL 60629 | 2018-05-03 |
| 1871003715 | Siddhi Vinayak Dental | Clinic/Center | 5521 S Kedzie Ave, Unit 105, Chicago, IL 60629 | 2017-10-05 |
| 1477092328 | Debra Shepard | Social Worker | 2601 W. Marquette Rd., Catholic Charities, Chicago, IL 60629 | 2017-02-13 |
| 1255777108 | Jacquelyn Jones | Developmental Therapist | 3108 West Marquette Road Apartment 1-b, Chicago, IL 60629 | 2013-05-20 |
| 1124368030 | Claudia Ballesteros | Interpreter | 5631 S. Richmond, Chicago, IL 60629 | 2013-03-01 |
| Find all providers in zip 60629 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699382531 | Contemporary Ob/gyn Chicago, Pllc | Obstetrics & Gynecology | 2007 S State St, Chicago, IL 60616-2173 | 2020-09-24 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1679003826 | Scolastica W Njoroge | Obstetrics & Gynecology | 5841 S Maryland Ave Rm J-141, Chicago, IL 60637-1447 | 2017-06-19 |
| 1356794457 | Paige Dermer Kendall | Obstetrics & Gynecology | 250 E. Huron Street, Chicago, IL 60611 | 2016-07-13 |
| 1427409093 | Marly Francois | Obstetrics & Gynecology | 1300 W Belmont Ave Ste 100, Chicago, IL 60657-3200 | 2016-06-24 |
| 1346695509 | Kristina Janea Warner | Obstetrics & Gynecology | 250 E Superior St Ste 5-2166, Chicago, IL 60611-2914 | 2016-04-25 |
| 1962857102 | Jacqueline Christine Lee | Obstetrics & Gynecology | 250 E Superior St Ste 5-2177, Chicago, IL 60611-2914 | 2016-04-25 |
| 1881049120 | Kelly Ann Davis | Obstetrics & Gynecology | 7447 W Talcott Ave Ste 531, Chicago, IL 60631-3716 | 2016-04-24 |
| 1780046185 | Hillary Edelman | Obstetrics & Gynecology | 900 N Kingsbury St Ste 130n, Chicago, IL 60610-7457 | 2016-03-24 |
| 1578929139 | Olivia Helen Finkelstein Barry | Obstetrics & Gynecology | 675 N Saint Clair St # 200, Chicago, IL 60611 | 2016-01-12 |
| Find all providers in CHICAGO | ||||
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| 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.