Provider Demographics
NPI:1538458955
Name:CORTES, RAMON (HHP)
Entity Type:Individual
Prefix:
First Name:RAMON
Middle Name:
Last Name:CORTES
Suffix:
Gender:M
Credentials:HHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 N MASON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60651-1046
Mailing Address - Country:US
Mailing Address - Phone:312-493-5809
Mailing Address - Fax:
Practice Address - Street 1:1527 N MASON AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60651-1046
Practice Address - Country:US
Practice Address - Phone:312-493-5809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX48693102175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath