Individual provider · Type 1 NPI

Mari Dolores Merlos Vaca, INTERN

Student in an Organized Health Care Education/Training Program · Cicero, IL

NPI number 1689857799 Active

Practice location

5341 W Cermak Rd
Cicero, IL 60804-2892

Fax (708) 656-6591

Mailing address

3919 W 31st St, 5341 W Cermak Rd
Cicero, IL 60804-2817

Specialties and licenses

TaxonomyCodeLicense
Interpreter 171R00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1689857799

Mari Dolores Merlos Vaca, INTERN's National Provider Identifier is 1689857799, issued on Dec 11, 2007. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cicero, IL. The record was last updated on Jun 9, 2021.