Individual
MARCO ANTONIO GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
(773) 650-1239
Mailing address
966 W 21ST ST, CHICAGO, IL 60608-4511
(773) 254-1400
(773) 650-1239
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036076861
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
IL
Enumeration date
04/04/2007
Last updated
10/05/2017
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