Individual
CONSUELO FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 622-5400
Mailing address
SHRINERS HOSPITAL FOR CHILDREN CHICAGO, PO BOX 8500 LOCKBOX 7642, PHILADELPHIA, PA 19178-7642
(813) 281-8115
(813) 281-8656
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209008706
IL
Other
Enumeration date
08/25/2011
Last updated
03/05/2013
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