Healthcare Provider Details

I. General information

NPI: 1356268700
Provider Name (Legal Business Name): DANIELA BRITO
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 S PAULINA ST STE 1080
CHICAGO IL
60612-3806
US

IV. Provider business mailing address

600 S PAULINA ST STE 1080
CHICAGO IL
60612-3806
US

V. Phone/Fax

Practice location:
  • Phone: 954-274-9939
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number041.533420
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: