Individual
AUGUSTO GUEVARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
18 CHICAGO AVE, OAK PARK, IL 60302-2402
(773) 253-3933
(773) 437-6780
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(773) 253-3933
(773) 437-6780
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36-091726
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36-091726
LIC PHYSICIAN
IL
Enumeration date
01/24/2007
Last updated
09/17/2025
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