Provider Demographics
NPI:1568586527
Name:CROSS, DANIA DEE (DT)
Entity Type:Individual
Prefix:MS
First Name:DANIA
Middle Name:DEE
Last Name:CROSS
Suffix:
Gender:F
Credentials:DT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7704 S CARPENTER ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-2918
Mailing Address - Country:US
Mailing Address - Phone:773-651-9932
Mailing Address - Fax:773-651-9932
Practice Address - Street 1:7704 S CARPENTER ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-2918
Practice Address - Country:US
Practice Address - Phone:773-651-9932
Practice Address - Fax:773-651-9932
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist