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NPI Code Detail

MEDICARE: DR. DANIEL J SEPE MD

MEDICARE: DR. DANIEL J SEPE 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
1207Q00000XFamily Medicine Physician036165607IL

General Provider Information

NPI Number : 1912526567
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL J SEPE MD
Provider Business Mailing Address
First Line : 7447 W TALCOTT AVE STE 182
Second Line :
City : CHICAGO
State : IL
Zip : 60631-3712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 676 N SAINT CLAIR ST STE 415
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3133
Country : US
Telephone Number : 312-926-3627
Fax Number : 312-694-4102
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2020
Last Update Date : 11/16/2023

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Directions to “ DR. DANIEL J SEPE MD” Practice Location

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