Healthcare Provider Details

I. General information

NPI: 1487069514
Provider Name (Legal Business Name): DANIEL NEJAK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2014
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 W 95TH ST
OAK LAWN IL
60453
US

IV. Provider business mailing address

1212 S MICHIGAN AVE APARTMENT 1703
CHICAGO IL
60605-2416
US

V. Phone/Fax

Practice location:
  • Phone: 708-684-5375
  • Fax: 708-684-1028
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number01078681A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: