Individual
AUSBERTO J. GUERRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.MIN.CDVC-IV
Contact information
Practice address
329 N GENESEE ST, WAUKEGAN, IL 60085-4205
(847) 623-1730
(847) 623-1733
Mailing address
329 N GENESEE ST, WAUKEGAN, IL 60085-4205
(847) 623-1730
(847) 623-1733
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
22305
IL
Other
Enumeration date
08/13/2015
Last updated
08/18/2015
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