Jose Cortes

NPI #1053738559 in Centralia, Illinois

Provider Information

NPI Number: 1053738559
Entity Type: Individual
Name: Jose Cortes
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Enumeration Date: Mar 21, 2014
Last Updated: Mar 21, 2014

Practice Location

Address: 320 E 7TH ST
City: Centralia
State: Illinois
ZIP Code: 62801-4506
Phone: (954) 243-0083

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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