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1457767998
MATEO M BETANZOS
CHICAGO, IL
NPI
1457767998
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209011574)
Enumeration Date
2014-07-04
Last Update Date
2018-01-10
Business Address
Mr. MATEO M BETANZOS FNP/BC
1337 W 19TH ST
CHICAGO, IL 60608-3896
Phone number: 312-563-9517
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Mailing Address
Mr. MATEO M BETANZOS FNP/BC
4025 N SHERIDAN RD
CHICAGO, IL 60613-2010
Phone number: 773-388-1600
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