Bocanegra, Guadalupe

Bocanegra, Guadalupe is an individual health care provider with primary practice located at 9241 S Roberts Rd , Hickory Hills IL 60457-3809. He recently has 3 registered licenses in different health care specialties including Emergency Medical Service Providers / Emergency Medical Technician, Basic, Other Service Providers / Specialist, Technologists, Technicians & Other Technical Service Providers / Phlebotomy. Technologists, Technicians & Other Technical Service Providers / Phlebotomy is his primary health care specialty. Bocanegra, Guadalupe can be contacted via phone (630) 809-9041.

Contact Information

Primary practice address
9241 S Roberts Rd Hickory Hills IL 60457-3809
Phone: (630) 809-9041
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Emergency Medical Service Providers / Emergency Medical Technician, Basic 146N00000X 605340 Texas
Other Service Providers / Specialist 174400000X Illinois
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X 20-0204R15 Maryland

Profile Details

NPI number 1699386235
LBN Legal business name Bocanegra, Guadalupe
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2020
Last updated Nov 23rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699386235 NPPES
Illinois Other 14D2190321 LABORATORY DIRECTOR
Illinois Other 20-0204R15 LABORATORY DIRECTOR
Illinois Other 605340 LABORATORY DIRECTOR

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