Guzman, Gerardo
Guzman, Gerardo is an sole proprietor health care provider with primary practice located at 1213 Joliet St Suite E, West Chicago IL 60185-3700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Guzman, Gerardo can be contacted via phone (630) 231-7632.Contact Information
Primary practice address
1213 Joliet St Suite E
West Chicago IL 60185-3700
Phone: (630) 231-7632
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036045045 | Illinois |
Profile Details
| NPI number | 1992739700 |
|---|---|
| LBN Legal business name | Guzman, Gerardo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Apr 24th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992739700 | NPPES |
| Illinois | MEDICAID | 036045045 |
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