JUAN P MERCADO

ELGIN, IL
NPI1962719419
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IL  209008311)
Enumeration Date2010-09-03
Last Update Date2011-08-30
Business Address
-- JUAN P MERCADO APN
164 DIVISION ST 607
ELGIN, IL 60120-5587
Phone number: 847-695-1093
Mailing Address
-- JUAN P MERCADO APN
2943 W 71ST ST
CHICAGO, IL 60629-3047
Phone number: 630-842-2614