MEDICARE: DR. DENISE FRANCINE DAILEY PSY.D.

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
1	103T00000X	Psychologist
2	103TC0700X	Clinical Psychologist	071.011312	IL

General Provider Information

NPI Number	:	1467293696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DENISE FRANCINE DAILEY PSY.D.

Provider Business Mailing Address
First Line	:	3712 N BROADWAY ST # 132
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-4235
Country	:	US
Telephone Number	:	757-610-6436
Fax Number	:

Provider Business Practice Location Address
First Line	:	3712 N BROADWAY ST UNIT 132
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60613-4235
Country	:	US
Telephone Number	:	301-842-4115
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	01/26/2026

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