Individual
GISELLE GUASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6145 N WASHTENAW AVE, CHICAGO, IL 60659-3297
(312) 659-3381
Mailing address
5848 N ROCKWELL ST APT 2, CHICAGO, IL 60659-4988
(312) 659-3381
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
IN
Other
Enumeration date
06/01/2021
Last updated
05/09/2023
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