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Karina Fuentes

Student in an Organized Health Care Education/Training Program in Cicero, IL. Individual provider (NPI-1).

NPI number1972259240
StatusActive
Last updated in NPPESFeb 25, 2022

Details

NPI
1972259240
Entity type
Individual (NPI-1)
Name
Karina Fuentes
Sex
Female
Sole proprietor
No
Enumeration date
Feb 25, 2022
Certification date
Feb 25, 2022
Last updated
Feb 25, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

5341 W Cermak Rd
Cicero, IL 60804-2817

Phone 708-656-6430

Mailing address

4207 Grove Ave # H
Brookfield, IL 60513-2137

Phone 708-299-8552

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Other Student in an Organized Health Care Education/Training Program providers in Cicero, IL

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