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Individual
DANIELLE DORGAN
Active
Individual
DANIELLE DORGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
209017558
IL
363LF0000X
Family Nurse Practitioner
209017558
IL
363LP0200X
Pediatric Nurse Practitioner
209017558
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
277.001793
IL
Other
Enumeration date
08/21/2018
Last updated
01/21/2025
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