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NPI Code Detail

MEDICARE: DR. ANDREW GUZMAN MD

MEDICARE: DR. ANDREW GUZMAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician036.144243IL

General Provider Information

NPI Number : 1417368226
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW GUZMAN MD
Provider Business Mailing Address
First Line : 4025 N. SHERIDAN ROAD
Second Line :
City : CHICAGO
State : IL
Zip : 60613
Country : US
Telephone Number : 773-388-1600
Fax Number : 773-388-1602
Provider Business Practice Location Address
First Line : 1931 N HALSTED ST
Second Line :
City : CHICAGO
State : IL
Zip : 60614-5008
Country : US
Telephone Number : 888-663-6331
Fax Number : 415-252-7176
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2014
Last Update Date : 03/17/2025

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