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Mr. Rodolfo Luciano Cantu JR., ATC,L
Specialist in Peoria, Illinois
NPI 1356300842

Rodolfo Luciano Cantu JR. is a Specialist based in Washington, IL. Rodolfo Luciano Cantu JR. practices in Peoria, IL and has the professional credentials of ATC,L. The NPI Number for Rodolfo Luciano Cantu JR. is 1356300842 and holds a License No. (Illinois).

The current practice location address for Rodolfo Luciano Cantu JR. is 456 Fulton St, Peoria, IL and can be reached out via phone at 309-680-3764.

Location: 456 Fulton St, Peoria, IL, 61571-9471
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356300842
Provider Name
Rodolfo Luciano Cantu JR.
Credential
ATC,L
Provider Entity Type
Individual
Gender
Male
Address
456 Fulton St, Peoria, IL, 61571-9471
Phone Number
309-680-3764
Fax Number
Provider Enumeration Date
03/22/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
456 Fulton St
City
Peoria
State
Illinois
Zip
61602-1274
Phone Number
309-680-3764
Fax Number
person
Provider Business Mailing Address Details
Address
456 Fulton St
City
Peoria
State
Illinois
Zip
61602-1274
Phone Number
309-680-3764
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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