SearchIllinois101YA0400X

Jephthat Mcdaniel

NPI 1861273781 · on the registry since 2023

Practice

Address
2200 S Grace St Apt 605
Lombard, IL 60148
Phone
(312) 709-5351
Clinicians at this address
2

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Male
Record last updated
2023-10-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois