Individual
VITTORIO GUERRIERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
45 W 111TH ST, CHICAGO, IL 60628-4294
(773) 995-3116
(773) 660-4505
Mailing address
45 W 111TH ST, CHICAGO, IL 60628-4294
(773) 995-3116
(773) 637-2006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036058757
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036058757
—
IL
01
—
31600319
BLUE SHIELD OF IL
IL
Enumeration date
09/14/2006
Last updated
04/05/2023
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