Individual
MR. JESUS ADRIAN CEDILLO LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1440 W TAYLOR ST # 1234, CHICAGO, IL 60607-4623
(773) 956-4559
Mailing address
1440 W TAYLOR ST # 1234, CHICAGO, IL 60607-4623
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
180.014794
IL
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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