SearchIllinois376J00000X

Elsy Fuentes

NPI 1649661547 · on the registry since 2015 · sole proprietor

Practice

Address
118 Des Plaines Ave
Forest Park, IL 60130
Phone
(708) 288-1807

Registry record

Primary taxonomy
376J00000X
376J00000X
Also registered as
372600000X
Sex
Female
Record last updated
2015-02-12

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