Individual
GLENN GUEVARRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
9136A WAUKEGAN RD, MORTON GROVE, IL 60053-2119
(847) 965-8890
(847) 965-5424
Mailing address
9136A WAUKEGAN RD, MORTON GROVE, IL 60053-2119
(847) 965-8890
(847) 965-5424
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
364160733001
—
IL
Enumeration date
09/07/2005
Last updated
07/09/2007
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