Healthcare Provider Details

I. General information

NPI: 1205280674
Provider Name (Legal Business Name): MAGDALENA DAOUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/21/2016
Last Update Date: 02/18/2025
Certification Date: 02/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

880 W CENTRAL RD
ARLINGTON HEIGHTS IL
60005-2355
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 847-618-4430
  • Fax: 847-618-0786
Mailing address:
  • Phone: 847-982-3362
  • Fax: 847-982-3394

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number209014051
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209014051
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: