GUILLERMO GUILLEN BASTIDAS

MOKENA, IL
NPI1912614819
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy246ZC0007X Specialist/Technologist, Other Surgical Assistant
(Licence: IL  238.000761)
Enumeration Date2022-10-31
Last Update Date2022-10-31
Business Address
GUILLERMO GUILLEN BASTIDAS SURGICAL ASSISTANT
19015 S JODI RD STE H
MOKENA, IL 60448-8534
Phone number: 866-787-4452
Mailing Address
GUILLERMO GUILLEN BASTIDAS SURGICAL ASSISTANT
1926 W WINONA ST APT GRD
CHICAGO, IL 60640-2676
Phone number: 980-441-9013
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