Provider Demographics
NPI:1457325037
Name:BATTLE, DANIEL (MD)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:BATTLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:680 N LAKE SHORE DR
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4546
Mailing Address - Country:US
Mailing Address - Phone:312-695-2887
Mailing Address - Fax:312-695-5232
Practice Address - Street 1:675 N SAINT CLAIR ST
Practice Address - Street 2:SUITE #250
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5975
Practice Address - Country:US
Practice Address - Phone:312-695-2887
Practice Address - Fax:312-695-5232
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2009-06-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036054882207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
C45343Medicare UPIN