ALFREDO CARRASQUILLO

CHICAGO, IL
NPI1013262401
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: IL  020.014003)
Enumeration Date2012-07-21
Last Update Date2012-07-21
Business Address
-- ALFREDO CARRASQUILLO RDH
4104 W NELSON ST
CHICAGO, IL 60641-5441
Phone number: 773-540-1740
Mailing Address
-- ALFREDO CARRASQUILLO RDH
4104 W NELSON ST
CHICAGO, IL 60641-5441
Phone number: 773-540-1740