DANIEL CEBALLOS

CHICAGO, IL
NPI1659449767
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LA2200X Nurse Practitioner, Adult Health
(Licence: IL  209-003925)
Enumeration Date2006-11-30
Last Update Date2020-09-29
Business Address
Mr. DANIEL CEBALLOS Nurse Practitioner
3600 W FULLERTON AVE
CHICAGO, IL 60647-2319
Phone number: 773-782-2800
Mailing Address
Mr. DANIEL CEBALLOS Nurse Practitioner
2440 W HARRISON ST APT 4
CHICAGO, IL 60612-3788
Phone number: 312-421-3219
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