SearchIllinois2255A2300X

David Fuentes

NPI 1114412160 · on the registry since 2018 · sole proprietor

Practice

Address
2904 Wall Ave
Waukegan, IL 60087
Phone
(847) 791-2689

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Sex
Male
Record last updated
2025-09-11

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