Individual
DR. HENRY J FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 361-0600
(708) 923-2529
Mailing address
7600 W COLLEGE DR, PALOS HEIGHTS, IL 60463-1001
(708) 361-0600
(708) 923-2529
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036070990
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
01040355A
IN
Other
Enumeration date
07/13/2005
Last updated
11/12/2018
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