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1962719419
JUAN P MERCADO
ELGIN, IL
NPI
1962719419
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209008311)
Enumeration Date
2010-09-03
Last Update Date
2011-08-30
Business Address
-- JUAN P MERCADO APN
164 DIVISION ST 607
ELGIN, IL 60120-5587
Phone number: 847-695-1093
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Mailing Address
-- JUAN P MERCADO APN
2943 W 71ST ST
CHICAGO, IL 60629-3047
Phone number: 630-842-2614
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