Valeriano Guzman, MD
Individual provider Active NPI Clinical Pathology/Laboratory Medicine Physician · Berwyn, IL
NPI 1093744740 · NPPES record last updated Aug 24, 2011
Key facts
- NPI
- 1093744740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Pathology/Laboratory Medicine Physician 207ZP0105X
- License
- 036-055682 (IL)
- Practice address
- 3249 Oak Park Ave
Berwyn, IL 60402-3429 - Phone
- (708) 783-0192
- NPI assigned
- Jul 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-055682 | IL | MD | Clinical Pathology/Laboratory Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| VHS of Illinois Inc | Past | Accepting new patients | |
| Sme Pathologists SC | Past | Accepting new patients | |
| Macneal Physicians Group LLC | Past | Accepting new patients | |
| CML-Chicago Market Labs, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology/Laboratory Medicine Physician | 207ZP0105X | 036-055682 | IL | Yes |
Addresses
Primary practice location
3249 Oak Park Ave
Berwyn, IL 60402-3429
Mailing address
PO Box 5966
Carol Stream, IL 60197-5966
Phone (877) 861-9294
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036055682 | Medicaid | IL |
Other providers in Berwyn, IL
- Yili Guo
- Prashant Guragain
- Lauren Gustafson
- Roberto J Gutierrez
- Monica Guzman
- Albert Gyato
- Israr Habib
- Hablame Speech Therapy
- Julie Hadler
- Daniel Michael Halloran
All providers in Berwyn, IL · Clinical Pathology/Laboratory Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.