Individual
DAVID B FUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2904 WALL AVE, WAUKEGAN, IL 60087
(847) 791-2689
Mailing address
2904 WALL AVE, WAUKEGAN, IL 60087-3563
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
09/11/2025
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