Dewaele-Guzman, Lucinda

Dewaele-Guzman, Lucinda is an individual health care provider with primary practice located at 1100 Houbolt Rd , Joliet IL 60431-9063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dewaele-Guzman, Lucinda can be contacted via phone (815) 725-5950.

Contact Information

Primary practice address
1100 Houbolt Rd Joliet IL 60431-9063
Fax: (815) 725-3666
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 209005049 Illinois

Profile Details

NPI number 1881799476
LBN Legal business name Dewaele-Guzman, Lucinda
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated May 29th, 2019 - about 5 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 1881799476 NPPES
Illinois Other P00361879 RAILROAD MEDICARE
Illinois Other 209005049 RAILROAD MEDICARE

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