Guzman, Laura L

Guzman, Laura L is an individual health care provider with primary practice located at 25 N Winfield Rd , Winfield IL 60190-1295. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Guzman, Laura L can be contacted via phone (630) 933-4056.

Contact Information

Primary practice address
25 N Winfield Rd Winfield IL 60190-1295
Fax: (630) 933-4057
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-005946 Illinois

Profile Details

NPI number 1740346279
LBN Legal business name Guzman, Laura L
Credentials NP, CNRN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2006
Last updated Dec 9th, 2014 - about 12 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 1740346279 NPPES
Illinois Other 206147 MEDICARE PTAN (GROUP)
Illinois Other F400174799 MEDICARE PTAN (GROUP)

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