Guevarra, Glenn

Guevarra, Glenn is an individual health care provider with primary practice located at 9136A Waukegan Rd , Morton Grove IL 60053-2119. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified, which is considered as his primary health care specialty. Guevarra, Glenn can be contacted via phone (847) 965-8890.

Contact Information

Primary practice address
9136A Waukegan Rd Morton Grove IL 60053-2119
Phone: (847) 965-8890
Fax: (847) 965-5424
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Respiratory Therapist, Certified 227800000X Illinois

Profile Details

NPI number 1023002839
LBN Legal business name Guevarra, Glenn
Credentials Radiologic Technologist (RT)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 9th, 2007 - about 19 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 1023002839 NPPES
Illinois MEDICAID 364160733001

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