Guzman, Maurice A
Guzman, Maurice A is an individual health care provider with primary practice located at 4200 W 63Rd St , Chicago IL 60629-5010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Guzman, Maurice A can be contacted via phone (773) 581-5660.Contact Information
Primary practice address
4200 W 63Rd St
Chicago IL 60629-5010
Phone: (773) 581-5660
Fax: (773) 581-5661
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036098402 | Illinois |
Profile Details
| NPI number | 1528057874 |
|---|---|
| LBN Legal business name | Guzman, Maurice A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Nov 4th, 2013 - about 13 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 | 1528057874 | NPPES |
| Illinois | MEDICAID | 036098402 |
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