Individual
ANDREW K. GUARDIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003035
IL
363AM0700X
Medical Physician Assistant
085003035
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K45543
MEDICARE
IL
01
—
P00431366
RR MEDICARE
IL
Enumeration date
09/10/2007
Last updated
03/03/2026
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