Individual
DR. ANGELICA C FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
201 E PARK ST, SUITE B, MUNDELEIN, IL 60060-1973
(630) 730-0864
(630) 654-1195
Mailing address
201 E PARK ST, SUITE B, MUNDELEIN, IL 60060-1973
(630) 730-0864
(630) 654-1195
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071007521
IL
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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