Individual
MR. JOSE FRANCIS PLACIDO ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
934 W CUYLER AVE, UNIT 1B, CHICAGO, IL 60613-4363
(312) 927-0995
Mailing address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 927-0995
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209014156
IL
Other
Enumeration date
04/08/2016
Last updated
03/13/2017
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