Individual
LIS EGUIA GUIMARAES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3525 W PETERSON AVE STE 400, CHICAGO, IL 60659-3324
(773) 516-5535
Mailing address
5320 N SHERIDAN RD APT 1601, CHICAGO, IL 60640-2544
(812) 369-3299
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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