Individual
DANARO JERARD THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 W STEPHENSON ST, FREEPORT, IL 61032-4263
(903) 490-4367
Mailing address
18 W STEPHENSON ST, FREEPORT, IL 61032-4263
(903) 490-4367
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
T52017083352
IL
Other
Enumeration date
11/21/2023
Last updated
11/21/2023
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