Individual
JOHN SIFUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1106 NEAL AVE, JOLIET, IL 60433-2548
(815) 727-8670
Mailing address
18507 BELLAGIO CIR, TINLEY PARK, IL 60477-4462
(815) 685-2183
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
IL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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