Healthcare Provider Details

I. General information

NPI: 1477404937
Provider Name (Legal Business Name): DANIEL SEGO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2026
Last Update Date: 02/09/2026
Certification Date: 02/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3030 W SALT CREEK LN STE 160
ARLINGTON HEIGHTS IL
60005-5005
US

IV. Provider business mailing address

900 RAND RD STE 300
DES PLAINES IL
60016-2359
US

V. Phone/Fax

Practice location:
  • Phone: 847-670-5840
  • Fax: 847-870-0059
Mailing address:
  • Phone: 847-324-3976
  • Fax: 847-929-1154

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number160-010602
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: