Individual
MS. DANIELLE MARIE GUDMESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
1925 E RAND RD, ARLINGTON HEIGHTS, IL 60004-4366
(618) 979-3598
(847) 253-3337
Mailing address
1925 E RAND RD, ARLINGTON HEIGHTS, IL 60004-4366
(618) 979-3598
(847) 253-3337
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004006
IL
Other
Enumeration date
06/15/2011
Last updated
06/15/2011
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