Individual provider · Type 1 NPI

Consuelo Fuentes, CPNP

Pediatric Nurse Practitioner · Chicago, IL

NPI number 1265712947 Active

Practice location

2211 N Oak Park Ave
Chicago, IL 60707-3351

Mailing address

Shriners Hospital For Children Chicago, PO Box 8500 Lockbox 7642
Philadelphia, PA 19178-7642

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X209008706 (IL)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1265712947

Consuelo Fuentes, CPNP's National Provider Identifier is 1265712947, issued on Aug 25, 2011. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Chicago, IL. The record was last updated on Mar 5, 2013.