Individual
FELISMENO G. KINTANAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2875 W 19TH ST, CHICAGO, IL 60623-3501
(773) 484-4425
Mailing address
305 RIDGEMOOR CT, WILLOWBROOK, IL 60527-5445
(630) 920-9856
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
IL
Other
Enumeration date
02/18/2007
Last updated
07/08/2007
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