Individual
DANA MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1800
(773) 388-8936
Mailing address
4025 N SHERIDAN RD, CHICAGO, IL 60613-2010
(773) 388-1800
(773) 388-8936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.008822
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085.008822
—
IL
Enumeration date
08/29/2022
Last updated
08/29/2022
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