Individual
JUAN MANUEL HUERTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5909 W 35TH ST, CICERO, IL 60804-4163
(708) 652-2040
Mailing address
9115 W CERMAK RD APT 10, NORTH RIVERSIDE, IL 60546-1097
(708) 426-9441
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042.618499
IL
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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