Individual
MR. ALEXIS BERTUMEN NAVARES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
655 ROCKLAND RD, STE 206, LAKE BLUFF, IL 60044
(847) 283-0720
(847) 283-0723
Mailing address
2400 MICHAEL AVE, ZION, IL 60099
(847) 917-9197
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
238000160
IL
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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