Healthcare Provider Details

I. General information

NPI: 1386939635
Provider Name (Legal Business Name): BRITT E GUERRERO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 07/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1700 E GOLF RD SUITE 900
SCHAUMBURG IL
60173-5804
US

IV. Provider business mailing address

1700 E GOLF RD SUITE 900
SCHAUMBURG IL
60173-5804
US

V. Phone/Fax

Practice location:
  • Phone: 847-590-0200
  • Fax: 847-590-0267
Mailing address:
  • Phone: 847-590-0200
  • Fax: 847-590-0267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2013036179
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number2013036178
License Number StateMO
# 3
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number2013036179
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: