Individual
MARY J GUENTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-5150
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2325
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-098354
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098354
—
IL
Enumeration date
08/31/2006
Last updated
11/03/2022
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