Individual
JAC GUERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
927 W IRVING PARK RD, CHICAGO, IL 60613-2597
(203) 494-6397
Mailing address
927 W IRVING PARK RD, CHICAGO, IL 60613-2597
(203) 494-6397
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.033039
IL
Other
Enumeration date
06/02/2025
Last updated
08/26/2025
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