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Individual
DAVID B CESPEDES
Active
Individual
DAVID B CESPEDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036103834
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036103834
IL STATE LICENSE
IL
05
—
362742950-60123-01
—
IL
01
—
4515545
BCBS IL PROVIDER NUMBER
IL
Enumeration date
07/29/2005
Last updated
05/04/2021
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