Individual
DR. DANIELA HUERTA DE HATHAWAY
Active
Individual
DR. DANIELA HUERTA DE HATHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036127309
IL
207R00000X
Internal Medicine Physician
125054385
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036127309
STATE LICENSE
IL
05
—
036127309
—
IL
01
—
P01069683
RR MEDICARE PTAN
IL
Enumeration date
06/23/2008
Last updated
10/19/2018
Update your record
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