NPI 1780770446 · live from the CMS NPI Registry
Suzanne Daly, M.D.
Internal Medicine, Gastroenterology in Maywood, IL. National Provider Identifier 1780770446, active.
NPI record
| NPI | 1780770446 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 2160 S 1st Ave, Maywood, IL 60153 |
| Practice phone | 708-216-9000 |
| Mailing address | 101 Cole Ave, Bisbee, AZ 85603 |
| Enumerated | October 4, 2006 |
| Last updated | December 17, 2024 |
| Sole proprietor | Yes |
| Other names | Suzanne Miller |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology | 207RG0100X | 5105006 (UT) |
| Internal Medicine, Gastroenterology | 207RG0100X | 42912 (AZ) |
| Internal Medicine, Gastroenterology | 207RG0100X | 01090370A (IN) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | 036170692 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.