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Daniel Adam Derylo

Student in an Organized Health Care Education/Training Program in North Chicago, IL. Individual provider (NPI-1).

NPI number1245188317
StatusActive
Last updated in NPPESMar 16, 2026

Details

NPI
1245188317
Entity type
Individual (NPI-1)
Name
Daniel Adam Derylo
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 16, 2026
Certification date
Mar 16, 2026
Last updated
Mar 16, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

3333 Green Bay Rd
North Chicago, IL 60064-3095

Phone 847-578-3000

Mailing address

3333 Green Bay Rd
North Chicago, IL 60064-3095

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