Individual
DR. DANIELLE SHAUNA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE STE 1, MC 4028, CHICAGO, IL 60637-1447
(773) 702-1000
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209.024591
IL
Other
Enumeration date
12/27/2021
Last updated
02/06/2022
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