MEDICARE: SUSAN A. GUERRERO GRAY SUSAN GUERRERO GRAY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051.038947	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	051.038947	OTHER	IL	DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION

General Provider Information

NPI Number	:	1851681407
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN A. GUERRERO GRAY SUSAN GUERRERO GRAY

Provider Business Mailing Address
First Line	:	1926 W 35TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-1204
Country	:	US
Telephone Number	:	773-254-5523
Fax Number	:	773-254-9537

Provider Business Practice Location Address
First Line	:	1926 W 35TH ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60609-1204
Country	:	US
Telephone Number	:	773-254-5523
Fax Number	:	773-254-9537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2011
Last Update Date	:	04/17/2011

Similar Medicare Providers

1245245463 — WALGREEN CO
Practice Location Address:

1926 W 35TH ST
CHICAGO, IL
60609-1204

Practice Phone: 773-254-5523
Practice Fax: 773-254-9537

1023398732 — MUKESH PATEL RPH
Practice Location Address:

1926 W 35TH ST
CHICAGO, IL
60609-1204

Practice Phone: 773-254-5523
Practice Fax:

1356622831 — DR. RICKEY LAU
Practice Location Address:

1926 W 35TH ST
CHICAGO, IL
60609-1204

Practice Phone: 773-254-5523
Practice Fax:

1962783621 — MR. JACOB R KALATHIVEETIL BS IN PHARMACY
Practice Location Address:

1926 W 35TH ST , WALGREENS
CHICAGO, IL
60609-1204

Practice Phone: 773-254-5523
Practice Fax: 773-254-9537

1457738361 — DR. ROBERT BARA D.D.S.
Practice Location Address:

1928 W 35TH ST
CHICAGO, IL
60609-1204

Practice Phone: 773-376-3342
Practice Fax:

1538880364 — SAMUEL FIATUGA
Practice Location Address:

1926 W 35TH ST
CHICAGO, IL
60609-1204

Practice Phone: 773-254-5523
Practice Fax:

Directions to “ SUSAN A. GUERRERO GRAY SUSAN GUERRERO GRAY” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.