Individual
YAMIZARET GUZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2310 W ROOSEVELT RD FL 2, CHICAGO, IL 60608-1131
(312) 655-7991
(312) 236-5384
Mailing address
1728 W CULLERTON ST, CHICAGO, IL 60608-2701
(312) 217-1023
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/04/2017
Last updated
08/04/2017
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