Individual
MR. BEN REMOR ESCALANTE INVENTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
3303 GROVE AVE, #312, BERWYN, IL 60402-3432
(708) 945-4990
Mailing address
3303 GROVE AVE, #312, BERWYN, IL 60402-3432
(708) 945-4990
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
IL
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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