Individual
VERONICA TIRADO GUERRERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4309 W MEDICAL CENTER DR STE B202, MCHENRY, IL 60050
(815) 455-2752
(815) 455-2789
Mailing address
4309 W MEDICAL CENTER DR STE B202, MCHENRY, IL 60050-8417
(815) 455-2752
(815) 455-2789
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
36146353
IL
208600000X
Surgery Physician
Q4413
TX
2086S0127X
Trauma Surgery Physician
Q4413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36146353
STATE LICENSE
IL
Enumeration date
05/22/2009
Last updated
02/01/2019
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