Cantu, Rodolfo Luciano

Cantu, Rodolfo Luciano is an individual health care provider with primary practice located at 456 Fulton St Suite 207, Peoria IL 61602-1274. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Cantu, Rodolfo Luciano can be contacted via phone (309) 680-3764.

Contact Information

Primary practice address
456 Fulton St Suite 207 Peoria IL 61602-1274
Phone: (309) 680-3764
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1356300842
LBN Legal business name Cantu, Rodolfo Luciano
Credentials A.T.C.,L
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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