Danielle Marie Goduto, DO
Student in an Organized Health Care Education/Training Program in La Grange, IL. Individual provider (NPI-1).
NPI number1063201366
StatusActive
Last updated in NPPESJul 1, 2025
Details
- NPI
- 1063201366
- Entity type
- Individual (NPI-1)
- Name
- Danielle Marie Goduto
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 2, 2025
- Certification date
- Jul 1, 2025
- Last updated
- Jul 1, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
1325 Community Memorial DrLa Grange, IL 60525-2659
Phone 708-245-8948
Mailing address
1325 Community Memorial DrLa Grange, IL 60525-2659
Phone 708-245-8948
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All 31 Student in an Organized Health Care Education/Training Program providers in La Grange · All 633 providers in La Grange
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