Individual
PRESENTACION D CANCINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
(312) 864-9638
Mailing address
334 S HUMPHREY AVE, OAK PARK, IL 60302-3528
(312) 864-5233
(312) 864-9638
Taxonomy
Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
Primary
—
IL
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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