Search › Illinois › 106S00000X
Breana Sepulveda
NPI 1770157786 · on the registry since 2021
Practice
- Address
- 306 N Kensington Ave
La Grange Park, IL 60526 - Phone
- (312) 965-2997
- Clinicians at this address
- 28
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois