Individual
VINCENT C LADERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
111 AZALEA CIR, STREAMWOOD, IL 60107-1871
(847) 208-8593
(847) 273-0541
Mailing address
111 AZALEA CIR, STREAMWOOD, IL 60107-1871
(847) 208-8593
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
3001608
IL
Other
Enumeration date
12/03/2018
Last updated
12/03/2018
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