Individual
MARYROSE GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5793 N LINCOLN AVE, CHICAGO, IL 60659-4722
(773) 561-6370
Mailing address
4902 N SEELEY AVE, APT 2, CHICAGO, IL 60625-1314
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
070.021996
IL
Other
Enumeration date
02/20/2017
Last updated
02/20/2017
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