MEDICARE: DANIELLE MAYA WRIGHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program		IL

General Provider Information

NPI Number	:	1831037530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELLE MAYA WRIGHT

Provider Business Mailing Address
First Line	:	2247 W LAWRENCE AVE APT 406
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3671
Country	:	US
Telephone Number	:	818-274-8892
Fax Number	:

Provider Business Practice Location Address
First Line	:	2247 W LAWRENCE AVE APT 406
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60625-3671
Country	:	US
Telephone Number	:	818-274-8892
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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Directions to “ DANIELLE MAYA WRIGHT ” Practice Location

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