Dr Daniel L Syverson, DPM is a
Podiatrist - Primary Podiatric Medicine based in Roscoe, Illinois. Dr Daniel L Syverson is licensed to practice in Illinois (license number 014004040) and his current practice location is
11320 Main St, Suite 311, Roscoe, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 389-8088.
NPI number for Dr Daniel L Syverson is 1336208842 and his current mailing address is Po Box 311, Roscoe, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336208842.
Healthcare Provider's Profile
| Full Name | Dr Daniel L Syverson |
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| Gender | Male |
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| Speciality | Podiatrist - Primary Podiatric Medicine |
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| Location | 11320 Main St, Roscoe, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1336208842
- Provider Enumeration Date: 12/08/2006
- Last Update Date: 01/29/2013
Medical Identifiers
Medical identifiers for Dr Daniel L Syverson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336208842 | NPI | - | NPPES |
| 016004040 | Medicaid | IL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 213EP1101X | Podiatrist - Primary Podiatric Medicine | 014004040 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Daniel L Syverson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Daniel L Syverson, DPM
Po Box 311,
Roscoe, IL 61073-0311
Ph: (815) 389-8088 | Dr Daniel L Syverson, DPM
11320 Main St, Suite 311,
Roscoe, IL 61073-4612
Ph: (815) 389-8088 |
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