DANIEL CARLOS BANUELOS

CHICAGO, IL
NPI1477020873
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
Enumeration Date2018-10-24
Last Update Date2018-10-24
Business Address
DANIEL CARLOS BANUELOS
3800 N CALIFORNIA AVE
CHICAGO, IL 60618-3606
Phone number: 773-478-4222
Mailing Address
DANIEL CARLOS BANUELOS
3123 S SHIELDS AVE APT 1F
CHICAGO, IL 60616-4968
Phone number:
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