Search › Illinois › 207R00000X
Daniel Vicencio, M.D
NPI 1174508246 · on the registry since 2005 · sole proprietor
Practice
- Address
- 2525 S Michigan Ave
B-390
Chicago, IL 60616 - Phone
- (312) 567-6691
- Fax
- (312) 328-7702
- Organisation at this address
- Stuart Issleib
Edna Richard M D
Mauro M Paes Md Sc
Najjar Medical Ltd
Subhash Shah Md ScInferred from a shared address, not stated in the registry. - Clinicians at this address
- 281
Additional practice sites
- 1276 N Clybourn Ave, Chicago, IL
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois