SearchIllinois104100000X

Saul Sepulveda, QMHP

NPI 1023766011 · on the registry since 2022 · sole proprietor

Practice

Address
700 Green Garden Pl
Lockport, IL 60441
Phone
(815) 722-0063

Registry record

Primary taxonomy
104100000X
104100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois