Individual
DANIELLE MARIE GODUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525-2659
(708) 245-8948
Mailing address
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525-2659
(708) 245-8948
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
07/01/2025
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