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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 18 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 1992739700 NPPES
Illinois MEDICAID 036045045

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