Organization
HEALTHE LAND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ETTA GUEST PHD (PRESIDENT)
(773) 699-7630
Entity
Organization
Contact information
Practice address
4022 W 21ST PL, 2ND FLOOR, CHICAGO, IL 60623-2829
(773) 699-7630
(773) 751-2250
Mailing address
4022 W 21ST PL, CHICAGO, IL 60623-2829
(773) 699-7630
(773) 751-2250
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
IL
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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