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Contact Information

DANIEL J FITZGERALD, MD
12935 GREGORY ST
BLUE ISLAND, IL60406
 Phone: 708-597-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for DANIEL J FITZGERALD · (Male)

NPI Number 1093007221
Status Active
Credentials MD
Entity Individual
Enumeration date 05/05/2011
Last updated 09/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036146100
Hospital affiliation(s)
  • ADVENTIST LA GRANGE MEMORIAL HOSPITAL - (Acute Care)
    5101 S WILLOW SPRINGS RD
    LA GRANGE, IL 60525
  • LITTLE COMPANY OF MARY HOSPITAL - (Acute Care)
    2800 W 95TH ST
    EVERGREEN PARK, IL 60805
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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