Individual
CICERO OFFEMARIA BERMUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 WARRINGTON AVE, DANVILLE, IL 61832-5446
(217) 446-0660
Mailing address
511 LAWNDALE DR, DANVILLE, IL 61832-2244
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
043112534
IL
225200000X
Physical Therapy Assistant
Primary
160.007924
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145183
—
IL
Enumeration date
02/20/2018
Last updated
02/20/2018
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