Individual
CARLINE CASSANDRA GUERRIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(847) 316-4000
(847) 316-4107
Mailing address
1356 S WILD MEADOW RD, ROUND LAKE, IL 60073-4275
(847) 414-1085
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041328923
IL
363LA2200X
Adult Health Nurse Practitioner
209016057
IL
363LG0600X
Gerontology Nurse Practitioner
209016057
IL
363LP2300X
Primary Care Nurse Practitioner
Primary
209016057
IL
Other
Enumeration date
09/03/2018
Last updated
09/03/2018
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