Organization Active NPI

G C Guzman MDSC

  • Family Medicine Physician
  • West Chicago, IL
National Provider Identifier
1962670299
Registry record updated Mar 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
G C GUZMAN MDSC
Practice address
1213 Joliet St
Suite E
West Chicago, IL 60185-3700
Phone
(630) 231-7632
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gerardo GuzmanNPI 1992739700
Title
Owner
Phone
(630) 231-7632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1213 Joliet St
Suite E
West Chicago, IL 60185-3700

Mailing address

1213 Joliet St
Suite E
West Chicago, IL 60185-3700

National Provider Directory

National Provider Directory

Locations

1213 Joliet St
Ste E
West Chicago, IL 60185
Phone (630) 231-7632

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204848000000",
    "number": "1962670299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 JOLIET ST",
            "address_2": "SUITE E",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 JOLIET ST",
            "address_2": "SUITE E",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853700",
            "telephone_number": "630-231-7632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G C GUZMAN MDSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-03-07",
        "status": "A",
        "authorized_official_last_name": "GUZMAN",
        "authorized_official_first_name": "GERARDO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-231-7632"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.