DR. MD Daniel A Liesen, NPI 1386747731
Trauma Surgery Physician in Gurnee, IL, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1386747731 |
| NPI Entity Type | Individual |
| Provider Name | DR. MD Daniel A Liesen |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Certification Date | September 30, 2009 |
| Provider Location Address | 20 Tower Ct Ste A, Gurnee, IL, US |
| Provider Mailing Address | 20 Tower Ct, Ste A, Gurnee, IL, US, 600315711 |
| Gender | Male |
| Is Sole Proprietor? | No |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Trauma Surgery Physician |
| Classification | |
| Group | |
| License No. | 036115999 |
| License State | IL |
| Description | Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 036115999 | IL | No |
Other Identifiers
| Identifier | Identifier State | Identifier Issuer | Type/Code |
|---|---|---|---|
| 036115999 | IL | MEDICAID | 05 |
| 036115999 | IL | LICENSE | 01 |
Health Information Exchange
| Endpoint Type | Endpoint | Description | Use | Content Type | Affiliation | Location |
|---|---|---|---|---|---|---|
| DIRECT | [email protected] | DIRECT | No | 20 Tower Ct Ste A, Gurnee, IL, US | ||
| DIRECT | [email protected] | DIRECT | No | 20 Tower Ct Ste A, Gurnee, IL, US |
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