Cifuentes, Enrique Guillermo

Cifuentes, Enrique Guillermo is an individual health care provider with primary practice located at 4440 W 95Th St Ste 3192H , Oak Lawn IL 60453-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as his primary health care specialty. Cifuentes, Enrique Guillermo can be contacted via phone (708) 684-5685.

Contact Information

Primary practice address
4440 W 95Th St Ste 3192H Oak Lawn IL 60453-2600
Phone: (708) 684-5685
Fax: (708) 684-4712
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 036111470 Illinois

Profile Details

NPI number 1447267497
LBN Legal business name Cifuentes, Enrique Guillermo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Jun 6th, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447267497 NPPES
Illinois Other 363975610 PIN
Illinois MEDICAID 036111470 PIN

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