# FUENTES PHYSICAL THERAPY AND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578449807
- **Authorized official:** MELISSA N FUENTES PT, DPT (PHYSICAL THERAPIST)
- **Authorized official phone:** (630) 363-1274

## Contact information

- **Practice address:** 5636 N OSCEOLA AVE, CHICAGO, IL 60631-3056
- **Practice address phone:** (630) 363-1274
- **Mailing address:** 5636 N OSCEOLA AVE, CHICAGO, IL 60631-3056
- **Mailing address phone:** (630) 363-1274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2025
- **Last updated:** 10/20/2025