Individual
DR. RAYMOND MARCUS DE GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE # MC2026, CHICAGO, IL 60637
(773) 702-3550
(737) 702-1161
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-6686
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
125071630
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
03/21/2017
Last updated
07/09/2018
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