Individual
MR. CESAR AGUSTO HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
245 S GARY AVE LOWR LEVEL, BLOOMINGDALE, IL 60108-2228
(630) 893-5230
(630) 893-5837
Mailing address
600 W FULTON ST STE 200, CHICAGO, IL 60661-1262
(312) 526-2411
(312) 526-2329
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
041403818
IL
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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