Individual
MARC ALCANTARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN, NP-C
Contact information
Practice address
2649 E 75TH ST, CHICAGO, IL 60649-3835
(773) 717-9917
Mailing address
1650 MOON LAKE BLVD, HOFFMAN ESTATES, IL 60169-1010
(847) 278-3048
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209022699
IL
Other
Enumeration date
01/14/2021
Last updated
04/30/2021
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