MEDICARE: DANIEL T. LAICH D.O.

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	207T00000X	Neurological Surgery Physician	036-083697	IL

General Provider Information

NPI Number	:	1558357046
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL T. LAICH D.O.

Provider Business Mailing Address
First Line	:	5115 N FRANCISCO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3611
Country	:	US
Telephone Number	:	773-271-2225
Fax Number	:	773-271-1145

Provider Business Practice Location Address
First Line	:	5115 N FRANCISCO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3611
Country	:	US
Telephone Number	:	773-271-2225
Fax Number	:	773-271-1145

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

Provider Enumeration Date	:	09/21/2005
Last Update Date	:	04/12/2021

Similar Medicare Providers

1396799037 — MAYFAIR FAMILYCARE SC
Practice Location Address:

5115 N FRANCISCO AVE , FL 1
CHICAGO, IL
60625-3611

Practice Phone: 773-271-6622
Practice Fax: 773-271-6801

1447439120 — COLLEEN A. HARRISON PA-C
Practice Location Address:

5115 N FRANCISCO AVE
CHICAGO, IL
60625-3611

Practice Phone: 773-271-2225
Practice Fax: 773-271-1145

1104002872 — DR. RONNIE RANJAN MANDAL D.O,MBA,MS,MT(ASCP)
Practice Location Address:

5115 N FRANCISCO AVE , FL 1
CHICAGO, IL
60625-3611

Practice Phone: 773-271-6622
Practice Fax: 773-271-6801

1518123520 — NICOLE JEANETTE SPENCER M.D.
Practice Location Address:

5115 N FRANCISCO AVE
CHICAGO, IL
60625-3611

Practice Phone: 847-570-2570
Practice Fax: 847-933-3520

1386890150 — ANDREW KELLY JOHNSON M.D.
Practice Location Address:

5115 N FRANCISCO AVE
CHICAGO, IL
60625-3611

Practice Phone: 773-878-8200
Practice Fax: 773-293-8804

1811148786 — DR. DANNY S PARK MD
Practice Location Address:

5115 N FRANCISCO AVE
CHICAGO, IL
60625-3611

Practice Phone: 773-271-2225
Practice Fax:

Directions to “ DANIEL T. LAICH D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.