Healthcare Provider Details

I. General information

NPI: 1811923675
Provider Name (Legal Business Name): DANIEL CHECCO D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 MAPLE ROAD SILVER CROSS HOSPITAL
JOLIET IL
60432
US

IV. Provider business mailing address

10957 PIONEER TRL
FRANKFORT IL
60423-7971
US

V. Phone/Fax

Practice location:
  • Phone: 815-740-1100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number46335
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: