Individual
MRS. LAURA L GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, CNRN
Contact information
Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057
Mailing address
25 N WINFIELD RD, WINFIELD, IL 60190-1295
(630) 933-4056
(630) 933-4057
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-005946
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147
MEDICARE PTAN (GROUP)
IL
01
—
F400174799
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
12/29/2006
Last updated
12/09/2014
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