Individual
KARINA FUENTES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5341 W CERMAK RD, CICERO, IL 60804-2817
(708) 656-6430
Mailing address
4207 GROVE AVE # H, BROOKFIELD, IL 60513-2137
(708) 299-8552
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/25/2022
Last updated
02/25/2022
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