Individual
MARK FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3143 W JEFFERSON ST, JOLIET, IL 60435-4733
(815) 744-6898
(815) 744-2486
Mailing address
215 SHUMAN BLVD, STE 401, NAPERVILLE, IL 60563-8458
(630) 303-5380
(978) 313-6824
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
3016
IL
Other
Enumeration date
01/11/2016
Last updated
01/11/2016
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