Provider Demographics
NPI:1174752588
Name:GOLDEN, DANIEL WILLIAM (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:WILLIAM
Last Name:GOLDEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5758 S MARYLAND AVE
Mailing Address - Street 2:MC 9006
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1426
Mailing Address - Country:US
Mailing Address - Phone:773-702-6870
Mailing Address - Fax:773-834-7340
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:MC 9006
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-6870
Practice Address - Fax:773-834-7340
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-07
Last Update Date:2013-09-26
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Provider Licenses
StateLicense IDTaxonomies
IL0361328902085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology