Individual
DR. EDWIN VERA GUMAPAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
25 S VIRGINIA ST, STE 201, CRYSTAL LAKE, IL 60014-5800
(815) 356-0475
(815) 356-0796
Mailing address
25 S VIRGINIA ST, STE 201, CRYSTAL LAKE, IL 60014-5800
(815) 356-0475
(815) 356-0796
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
IL
Other
Enumeration date
08/16/2005
Last updated
07/12/2007
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