Guillen, Marc

Guillen, Marc is an individual health care provider with primary practice located at 2618 W Division St , Chicago IL 60622-7107. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Guillen, Marc can be contacted via phone (773) 599-3393.

Contact Information

Primary practice address
2618 W Division St Chicago IL 60622-7107
Phone: (773) 599-3393
Fax: (773) 453-7898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5802 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 60160970 Washington
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 070.019810 Illinois

Profile Details

NPI number 1578717773
LBN Legal business name Guillen, Marc
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2008
Last updated May 23rd, 2023 - about 2 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 1578717773 NPPES
Oregon MEDICAID 500605246

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