Individual
DR. DANIELA FANTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
3311 N HALSTED ST, CHICAGO, IL 60657-2412
(773) 435-9994
(833) 734-1443
Mailing address
6255 W SUNSET BLVD FL 21, LOS ANGELES, CA 90028-7422
(323) 860-5200
(323) 467-7119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036154021
IL
Other
Enumeration date
04/14/2015
Last updated
05/07/2024
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