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Search › Illinois › 363A00000X

Angel Fuentes, PA-C

NPI 1881540037 · on the registry since 2026

Practice

Address
5461 W Lake St
Chicago, IL 60644
Phone
(954) 639-2757
Organisation at this address
Pcc Community Wellness Center
Pcc Community Wellness Center
Pcc Community Wellness Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
12

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-12

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