Individual
MRS. IDALIA GUACHICHULLCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5748 N ROCKWELL ST APT 2, CHICAGO, IL 60659-4966
(773) 299-4365
Mailing address
5748 N ROCKWELL ST APT 2, CHICAGO, IL 60659-4966
(773) 299-4365
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
—
—
Other
Enumeration date
03/18/2025
Last updated
03/18/2025
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