Healthcare Provider Details

I. General information

NPI: 1770412371
Provider Name (Legal Business Name): GUOMAN DU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

355 E OHIO ST UNIT 2203
CHICAGO IL
60611-5639
US

IV. Provider business mailing address

355 E OHIO ST UNIT 2203
CHICAGO IL
60611-5639
US

V. Phone/Fax

Practice location:
  • Phone: 408-590-9233
  • Fax:
Mailing address:
  • Phone: 408-590-9233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License NumberPD51816
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: