Individual
DR. JOEL ROY GUILLORY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
4400 W 95TH ST, STE 205, OAK LAWN, IL 60453-2654
(708) 346-4040
(708) 499-4312
Mailing address
4400 W 95TH ST, STE 205, OAK LAWN, IL 60453-2654
(708) 346-4040
(708) 499-4312
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
01026803A
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
036.049922
IL
Other
Enumeration date
02/04/2012
Last updated
02/04/2012
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