Fuentes, Consuelo

Fuentes, Consuelo is an individual health care provider with primary practice located at 2211 N Oak Park Ave , Chicago IL 60707-3351. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Fuentes, Consuelo can be contacted via phone (773) 622-5400.

Contact Information

Primary practice address
2211 N Oak Park Ave Chicago IL 60707-3351
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209008706 Illinois

Profile Details

NPI number 1265712947
LBN Legal business name Fuentes, Consuelo
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2011
Last updated Mar 5th, 2013 - about 13 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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