=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902716459
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | OLGA L SALGUERO RN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/08/2026
-----------------------------------------------------
Last Update Date | 09/08/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 502 W HOWARD ST STE 2A
-----------------------------------------------------
City | PONTIAC
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61764-1712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 708-320-8574
-----------------------------------------------------
Fax | 708-584-3888
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1006 E WATER ST
-----------------------------------------------------
City | PONTIAC
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 61764-2232
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 309-310-6721
-----------------------------------------------------
Fax | 708-584-3888
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WG0000X
-----------------------------------------------------
Taxonomy Name | General Practice Registered Nurse
-----------------------------------------------------
License Number | 041347935
-----------------------------------------------------
License Number State | IL
-----------------------------------------------------