DANIEL GREGORY LATYSHEV

CHICAGO, IL
NPI1346919305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208600000X Surgery
(Licence: IL  125.085517)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2021-09-12
Last Update Date2025-07-18
Business Address
DANIEL GREGORY LATYSHEV MD
600 S PAULINA ST STE 403
CHICAGO, IL 60612-3806
Phone number: 312-942-5495
Mailing Address
DANIEL GREGORY LATYSHEV MD
600 S PAULINA ST STE 403
CHICAGO, IL 60612-3806
Phone number: 312-942-5495