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Individual

VALERIANO GUZMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3249 OAK PARK AVE, BERWYN, IL 60402-3429
(708) 783-0192
Mailing address
PO BOX 5966, CAROL STREAM, IL 60197-5966
(877) 861-9294

Taxonomy

Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
036-055682
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036055682
IL
Enumeration date
07/02/2006
Last updated
08/24/2011
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