Individual
DR. DANIEL FANTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
240 E HURON ST STE 1-200, CHICAGO, IL 60611-2909
(412) 926-7929
Mailing address
844 W BUCKINGHAM PL, APT 1, CHICAGO, IL 60657-2390
(412) 926-7929
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036.140853
IL
Other
Enumeration date
09/30/2009
Last updated
01/28/2017
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