Basic Information
Provider Information
NPI: 1376584565
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DAAR
FirstName: ALAN
MiddleName: ARTHUR
NamePrefix: DR.
NameSuffix: IV
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1075 CREEK BEND DR
Address2:  
City: VERNON HILLS
State: IL
PostalCode: 600613307
CountryCode: US
TelephoneNumber: 8476341819
FaxNumber: 8476341819
Practice Location
Address1: 800 W CENTRAL RD
Address2:  
City: ARLINGTON HTS
State: IL
PostalCode: 600052349
CountryCode: US
TelephoneNumber: 8476183040
FaxNumber: 8476183049
Other Information
ProviderEnumerationDate: 06/09/2006
LastUpdateDate: 07/09/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X036-75505ILY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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