DANIELLE NICOLE LARSON

CHICAGO, IL
NPI1528487972
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: IL  036.145860)
Enumeration Date2014-04-14
Last Update Date2018-12-20
Business Address
DANIELLE NICOLE LARSON
240 E HURON ST MCGAW MEDICAL CENTER OF NORTHWESTERN UNIVSERSITY
CHICAGO, IL 60611-2909
Phone number: 312-503-7975
Mailing Address
DANIELLE NICOLE LARSON
145 COMMERCIAL ST APT. 332
BOSTON, MA 02109-1319
Phone number: 651-808-0762