Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Daniel Blake Heller

Individual provider Surgery Physician · NPI 1770164584

Daniel Blake Heller is a Surgery Physician in Maywood, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2021
Specialties on file
3

Practice location Address checks out

2160 S 1st Ave
Maywood, IL 60153-3328
Phone: (708) 327-3042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1601 Parkview Ave, Rockford, IL 61107-1822 — (815) 395-0600

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 125.081007 (IL)
Surgery Physician Taxonomy 208600000X · Licence 125.081007 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1770164584
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2021
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing address2160 S 1st Ave, Maywood, IL 60153-3328

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