Individual
JUAN CONSUEGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 S RACINE AVE, APT. 407, CHICAGO, IL 60607-2894
(312) 850-1150
(312) 850-1150
Mailing address
222 S RACINE AVE, APT. 407, CHICAGO, IL 60607-2894
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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