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1265712947
CONSUELO FUENTES
CHICAGO, IL
NPI
1265712947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: IL 209008706)
Enumeration Date
2011-08-25
Last Update Date
2013-03-05
Business Address
-- CONSUELO FUENTES CPNP
2211 N OAK PARK AVE
CHICAGO, IL 60707-3351
Phone number: 773-622-5400
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Mailing Address
-- CONSUELO FUENTES CPNP
SHRINERS HOSPITAL FOR CHILDREN CHICAGO PO BOX 8500 LOCKBOX 7642
PHILADELPHIA, PA 19178-7642
Phone number: 813-281-8115
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