DR. MD Daniel A Liesen, NPI 1386747731
Trauma Surgery Physician in Gurnee, IL, US

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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
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Primary Taxonomy

Taxonomy Code

2086S0127X

Taxonomy Name Trauma Surgery Physician
Classification

Surgery

Group

Allopathic & Osteopathic Physicians

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.

Business Address

DR. MD Daniel A Liesen
20 Tower Ct Ste A

Gurnee, IL, US

Phone: 847-505-7965
Fax: 847-244-3560

Mailing Address

DR. MD Daniel A Liesen
20 Tower Ct
Ste A
Gurnee, IL, US
ZIP 600315711
Phone: 847-244-3525
Fax: 847-244-3560

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

208600000X

Allopathic & Osteopathic Physicians

Surgery

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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