Healthcare Provider Details

I. General information

NPI: 1023105301
Provider Name (Legal Business Name): MARGARITA GUARIN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 11/25/2024
Certification Date: 11/25/2024
Deactivation Date: 11/15/2024
Reactivation Date: 11/21/2024

III. Provider practice location address

5841 S MARYLAND AVE
CHICAGO IL
60637-1443
US

IV. Provider business mailing address

150 HARVESTER DR STE 300
BURR RIDGE IL
60527-5965
US

V. Phone/Fax

Practice location:
  • Phone: 773-702-6178
  • Fax:
Mailing address:
  • Phone: 773-702-1150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number036.150815
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code2080P0214X
TaxonomyPediatric Pulmonology Physician
License Number036.150815
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: