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Daniel A. Hidaka, MD, Sc

Internal Medicine in Chicago, IL. Organization (NPI-2).

NPI number1043785488
StatusActive
Last updated in NPPESOct 12, 2018

Details

NPI
1043785488
Entity type
Organization (NPI-2)
Legal business name
Daniel A. Hidaka, MD, Sc
Organization subpart
No
Enumeration date
Oct 12, 2018
Last updated
Oct 12, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

200 S Michigan Avenue
Suite 805
Chicago, IL 60604

Phone 312-922-3815

Mailing address

200 S Michigan Ave Ste 805
Chicago, IL 60604-2418

Authorized official

Daniel Hidaka
President
3129223815

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