Individual
MR. JARRYD EDWARD MCGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
125 W MAPLE ST, NEW LENOX, IL 60451-1739
(815) 408-0988
(815) 408-1081
Mailing address
125 W MAPLE ST, NEW LENOX, IL 60451-1739
(815) 408-0988
(815) 408-1081
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.429974
IL
163W00000X
Registered Nurse
167322
IA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
277002764
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
G167535
IA
Other
Enumeration date
06/07/2021
Last updated
06/23/2024
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