OrganizationActive
Burgos Fuentes Service Corporation
NPI 1154491348 · Primary Care Clinic/Center · Bensenville, IL
Provider details
- NPI number
- 1154491348
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Miguel Burgos, President
- License
- 036103673 (IL)
Practice location
229 W Grand Ave Ste Qw
Bensenville, IL 60106-3373
Phone: (630) 422-1917
Fax: (630) 422-7226
Mailing address
229 W Grand Ave Ste Qw
Bensenville, IL 60106-3373
Registry dates
- Enumerated
- 2006-11-08
- Last updated
- 2011-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.