MARY-JENNELLE GUEVARA

PARK RIDGE, IL
NPI1225397268
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: IL  209009523)
Enumeration Date2012-05-11
Last Update Date2015-02-19
Business Address
-- MARY-JENNELLE GUEVARA
1875 DEMPSTER ST SUITE 180
PARK RIDGE, IL 60068-1186
Phone number: 847-897-9010
Mailing Address
-- MARY-JENNELLE GUEVARA
1875 DEMPSTER ST SUITE 180
PARK RIDGE, IL 60068-1186
Phone number: