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NPI Code Detail

MEDICARE: DR. DANIEL B CACIOPPO MD

MEDICARE: DR. DANIEL B CACIOPPO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084N0400XNeurology Physician036111766IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083662613
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL B CACIOPPO MD
Provider Business Mailing Address
First Line : 15 S MCHENRY RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-6705
Country : US
Telephone Number : 847-618-0326
Fax Number : 847-618-0762
Provider Business Practice Location Address
First Line : 15 S MCHENRY RD
Second Line :
City : BUFFALO GROVE
State : IL
Zip : 60089-6705
Country : US
Telephone Number : 847-618-0326
Fax Number : 847-618-0762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2006
Last Update Date : 10/05/2021

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