Individual
GINA CUDIA SANTOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
334 W WILSON AVE, LOMBARD, IL 60148-3833
(630) 656-7046
(630) 519-4368
Mailing address
334 W WILSON AVE, LOMBARD, IL 60148-3833
(630) 656-7046
(630) 519-4368
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
3001306
IL
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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