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DANIELLE MARIE GODUTO DO
NPI 1063201366
Student in an Organized Health Care Education/Training Program in La Grange, IL

Active since May 02, 2025PECOS Enrolled
1325 COMMUNITY MEMORIAL DR, LA GRANGE, IL 60525(708) 245-8948 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Danielle Marie Goduto Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANIELLE MARIE GODUTO DO (NPI 1063201366) is an individual student in an organized health care education/training program in La Grange, Illinois and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063201366
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDANIELLE MARIE GODUTOCredential: DO
Location Address1325 COMMUNITY MEMORIAL DRLa Grange, IL 60525-2659
Mailing Address1325 Community Memorial DrLa Grange, IL 60525-2659 · (708) 245-8948
Phone(708) 245-8948
Sole ProprietorNo
Enumeration DateMay 2, 2025
Last NPPES UpdateJuly 1, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1063201366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1325 COMMUNITY MEMORIAL DR, La Grange, IL 60525
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Danielle Marie Goduto Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEO KOENIG MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
GUIA STEPHANIE ALCALA PASCUAL DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
AISHAT CAROLYN OIYZA AUDU MD
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
SARAH KAY WELCH DO
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
ANERI NITISH SHAH DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
DR. DAPHNE TESSALEE MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
KATARZYNA HELENA ROGALA MD
Family Medicine
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (708) 245-8900
DR. KRISTINA NICOLE STEPANOVIC DO
Student in an Organized Health Care Education/Training Program
1325 COMMUNITY MEMORIAL DR
LA GRANGE, IL 60525
Cook County (087) 245-8900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Danielle Goduto's NPI number?

The NPI number for Danielle Goduto is 1063201366. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Danielle Goduto located?

Danielle Goduto practices at 1325 Community Memorial Dr, La Grange, IL 60525. The listed phone number is (708) 245-8948.

What is Danielle Goduto's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Danielle Goduto enrolled in Medicare?

Yes. Danielle Goduto is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Danielle Goduto was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.