Individual
SANTIAGO CERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1750 W HARRISON ST STE 775, CHICAGO, IL 60612-3825
(312) 942-5000
Mailing address
1750 W HARRISON ST STE 775, CHICAGO, IL 60612-3825
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125079686
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
07/02/2022
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