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NPI Code Detail

MEDICARE: GUADALUPE R SALGADO

MEDICARE: GUADALUPE R SALGADO
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
1106S00000XBehavior TechnicianIL

General Provider Information

NPI Number : 1952108821
Entity Type Code : Individual
Provider Name (Legal Business Name) : GUADALUPE R SALGADO
Provider Business Mailing Address
First Line : 2733 CLARENCE AVE
Second Line :
City : BERWYN
State : IL
Zip : 60402-2779
Country : US
Telephone Number : 708-218-8115
Fax Number :
Provider Business Practice Location Address
First Line : 121 N ADDISON AVE
Second Line :
City : ELMHURST
State : IL
Zip : 60126-2809
Country : US
Telephone Number : 877-486-4140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2025
Last Update Date : 02/27/2025

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Directions to “ GUADALUPE R SALGADO ” Practice Location

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