Organization
BLUEHEALTH MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY-JENNELLE GUEVARA APN (OWNER)
(773) 951-0941
Entity
Organization
Contact information
Practice address
3210 N KILBOURN AVE UNIT 11, CHICAGO, IL 60641-4571
(773) 951-0941
Mailing address
3210 N KILBOURN AVE UNIT 11, CHICAGO, IL 60641-4571
(773) 951-0941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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