Individual
SANTOS W ESTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
965 N BRIGHTON CIR, CRYSTAL LAKE, IL 60012-2036
(815) 893-7216
Mailing address
13609 CALIFORNIA ST STE 200, OMAHA, NE 68154-5245
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
32002250A
IN
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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