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1861888018
DANIELA FANTO
CHICAGO, IL
NPI
1861888018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036154021)
Enumeration Date
2015-04-14
Last Update Date
2024-05-07
Business Address
Dr. DANIELA FANTO MBBS
3311 N HALSTED ST
CHICAGO, IL 60657-2412
Phone number: 773-435-9994
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Mailing Address
Dr. DANIELA FANTO MBBS
6255 W SUNSET BLVD FL 21
LOS ANGELES, CA 90028-7422
Phone number: 323-860-5200
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