NPI

Burgos Fuentes Service Corporation

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2006-11-08
Last updated
2011-12-01

Specialties

Licenses

License IL
036103673

Location

Practice location
229 W Grand Ave Ste Qw
City
Bensenville IL
Postal code
60106-3373
Phone
(630) 422-1917

Organization contact

Name
MIGUEL BURGOS
Title
PRESIDENT
Phone
6304221917

Medicare

PECOS
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LEIE

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Other NPIs in Bensenville, IL. 259 records in the public file.

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