Burgos Fuentes Service Corporation
NPI #1154491348 in Bensenville, Illinois
Provider Information
- NPI Number
- 1154491348
- Entity Type
- Organization
- Organization Name
- Burgos Fuentes Service Corporation
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Nov 8, 2006
- Last Updated
- Dec 1, 2011
Practice Location
- Address
- 229 W GRAND AVE STE QW
- City
- Bensenville
- State
- Illinois
- ZIP Code
- 60106-3373
- Phone
- (630) 422-1917
Authorized Official
- Name
- DR. MIGUEL A BURGOS, M.D.
- Title
- PRESIDENT
- Phone
- (630) 422-1917
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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