Individual
SUSAN CORTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 GREEN AVE, LAKE BLUFF, IL 60044-1527
(847) 899-9859
Mailing address
411 GREEN AVE, LAKE BLUFF, IL 60044-1527
(847) 899-9859
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
070017050
IL
Other
Enumeration date
05/20/2014
Last updated
05/20/2014
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