Individual
JENNIFER MARGOTH CISNEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3338 W CUYLER AVE, CHICAGO, IL 60618-3308
(773) 818-9362
Mailing address
3338 W CUYLER AVE, CHICAGO, IL 60618-3308
(773) 818-9362
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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