Individual
BRANDON CUATLATL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5341 W CERMAK RD, CICERO, IL 60804-2892
(708) 656-6430
Mailing address
3601 S 52ND CT, CICERO, IL 60804-4416
(773) 302-5756
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
IL
Other
Enumeration date
09/15/2025
Last updated
09/15/2025
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