Healthcare Provider Details

I. General information

NPI: 1952492563
Provider Name (Legal Business Name): RAYMOND DAOU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 06/28/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 N RIVER RD SUITE 200
DES PLAINES IL
60016-1272
US

IV. Provider business mailing address

100 N RIVER RD
DES PLAINES IL
60016-1209
US

V. Phone/Fax

Practice location:
  • Phone: 847-297-0333
  • Fax: 847-297-8336
Mailing address:
  • Phone: 847-431-0917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number036064757
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207YX0602X
TaxonomyOtolaryngic Allergy Physician
License Number036064757
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: