Individual
GUADALUPE VIOLET MACIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
555 MCHENRY RD, WHEELING, IL 60090-3856
(773) 614-0194
Mailing address
555 MCHENRY RD, WHEELING, IL 60090-3856
(773) 614-0194
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
041446488
IL
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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