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Brandon Cuatlatl

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

NPI number1982575759
StatusActive
Last updated in NPPESSep 15, 2025

Details

NPI
1982575759
Entity type
Individual (NPI-1)
Name
Brandon Cuatlatl
Sex
Male
Sole proprietor
No
Enumeration date
Sep 15, 2025
Certification date
Sep 15, 2025
Last updated
Sep 15, 2025

Taxonomy and licenses

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

Practice location

5341 W Cermak Rd
Cicero, IL 60804-2892

Phone 708-656-6430

Mailing address

3601 S 52nd Ct
Cicero, IL 60804-4416

Phone 773-302-5756

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

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