Provider Demographics
NPI:1255302501
Name:MCLACHLAN, DANIEL L (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:L
Last Name:MCLACHLAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 OGDEN AVE
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-2865
Mailing Address - Country:US
Mailing Address - Phone:630-963-3937
Mailing Address - Fax:630-963-6802
Practice Address - Street 1:1001 OGDEN AVE
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-2865
Practice Address - Country:US
Practice Address - Phone:630-963-3937
Practice Address - Fax:630-963-6802
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036059494207W00000X, 207WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0200XAllopathic & Osteopathic PhysiciansOphthalmologyOphthalmic Plastic and Reconstructive Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL2201633OtherBLUE CROSS BLUE SHIELD #
IL180016786OtherRAILROAD MEDICARE NUMBER
IL036059494Medicaid
ILC40437Medicare UPIN
IL2201633OtherBLUE CROSS BLUE SHIELD #