MATEO M BETANZOS

CHICAGO, IL
NPI1457767998
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209011574)
Enumeration Date2014-07-04
Last Update Date2018-01-10
Business Address
Mr. MATEO M BETANZOS FNP/BC
1337 W 19TH ST
CHICAGO, IL 60608-3896
Phone number: 312-563-9517
Mailing Address
Mr. MATEO M BETANZOS FNP/BC
4025 N SHERIDAN RD
CHICAGO, IL 60613-2010
Phone number: 773-388-1600