ILENE FORTIN

PARK RIDGE, IL
NPI1710288683
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2010-11-09
Last Update Date2010-11-09
Business Address
-- ILENE FORTIN
819 BUSSE HWY
PARK RIDGE, IL 60068-2360
Phone number: 847-696-1570
Mailing Address
-- ILENE FORTIN
819 BUSSE HWY
PARK RIDGE, IL 60068-2360
Phone number:
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