Individual
DR. PAUL MICHAEL GUZZETTA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(708) 684-3077
(708) 684-4800
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-140558
IL
2085R0202X
Diagnostic Radiology Physician
036140558
IL
2085R0204X
Vascular & Interventional Radiology Physician
036-140558
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101256347
MEDICAL LICENSE
VA
01
—
036.140558
ILLINOIS MEDICAL BOARD
IL
01
—
125054901
TEMP MEDICAL LISCENCURE
IL
Enumeration date
07/17/2008
Last updated
03/17/2026
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