Individual
DANIELLE MARIE SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
737 N MICHIGAN AVE, SUITE 2310, CHICAGO, IL 60611-2615
(312) 799-4462
(312) 266-6612
Mailing address
737 N MICHIGAN AVE, SUITE 2310, CHICAGO, IL 60611-2615
(312) 799-4462
(312) 266-6612
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.005630
IL
Other
Enumeration date
11/08/2012
Last updated
11/02/2016
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