Individual provider · Type 1 NPI

Daniel Adam Derylo

Student in an Organized Health Care Education/Training Program · North Chicago, IL

NPI number 1245188317 Active

Practice location

3333 Green Bay Rd
North Chicago, IL 60064-3095

Call (847) 578-3000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1245188317

Daniel Adam Derylo's National Provider Identifier is 1245188317, issued on Mar 16, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in North Chicago, IL. The record was last updated on Mar 16, 2026.