Individual
JOHN BENNETTE ROSEL PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1630 PEARL STREET, AURORA, IL 60506
(630) 966-4475
Mailing address
1630 PLUM ST, AURORA, IL 60506-3462
(630) 966-4475
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/14/2023
Last updated
07/14/2023
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