Healthcare Provider Details

I. General information

NPI: 1902736382
Provider Name (Legal Business Name): DANIEL GUILLERMO NAVARRO RN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 N MARSHFIELD AVE APT 203
CHICAGO IL
60622-7535
US

IV. Provider business mailing address

815 N MARSHFIELD AVE
CHICAGO IL
60622-7537
US

V. Phone/Fax

Practice location:
  • Phone: 773-230-8654
  • Fax:
Mailing address:
  • Phone: 773-230-8654
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number041401816
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: