Individual
JOHN PAUL CUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10448 S PULASKI RD STE 1, OAK LAWN, IL 60453-4895
(708) 346-7000
(708) 346-6180
Mailing address
10448 S PULASKI RD STE 1, OAK LAWN, IL 60453-4895
(708) 346-7000
(708) 346-6180
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036085818
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01620924
BLUE SHIELD NUMBER
IL
05
—
036085818
—
IL
Enumeration date
09/16/2005
Last updated
01/06/2023
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