Individual
PAIGE GUIBOURDANCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 N COUNTY ST FL 7, WAUKEGAN, IL 60085-4304
(847) 377-2322
Mailing address
3230 BAGATELLE LN, MUNDELEIN, IL 60060-6001
(847) 530-2888
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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