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General NPI Number Information
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NPI Number | 1487041984
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Entity Type | Organization
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Legal Business Name | SILVIA GUERRERO MD LLC
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Dates
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Enumeration Date | 04/22/2015
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Last Update Date | 04/22/2015
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Provider Practice Location Address
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Address Line | 1930 N HARLEM AVE APT 405
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City | ELMWOOD PARK
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State | IL
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Zip | 60707-3758
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Country | US
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Telephone | 215-292-7688
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Fax |
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Provider Business Mailing Address
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Address Line | 1930 N HARLEM AVE APT 405
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City | ELMWOOD PARK
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State | IL
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Zip | 60707-3758
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Country | US
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Telephone | 215-292-7688
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. DEBORAH CONLEY
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Credential | RN
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Telephone | 847-297-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 036.136703
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License Number State | IL
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