Provider Demographics
NPI:1609108067
Name:SALGADO, DANIEL (DN)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:SALGADO
Suffix:
Gender:M
Credentials:DN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2212 S CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:CICERO
Mailing Address - State:IL
Mailing Address - Zip Code:60804-2741
Mailing Address - Country:US
Mailing Address - Phone:708-305-1025
Mailing Address - Fax:
Practice Address - Street 1:6903 CERMAK RD
Practice Address - Street 2:
Practice Address - City:BERWYN
Practice Address - State:IL
Practice Address - Zip Code:60402-2176
Practice Address - Country:US
Practice Address - Phone:708-956-7072
Practice Address - Fax:708-956-7073
Is Sole Proprietor?:No
Enumeration Date:2010-02-09
Last Update Date:2010-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL181.000351172P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath