Doctor Name: | ANDREA GUGGENBUEHL |
NPI Number: | 1134468366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 070.019938 |
Business Practice Address: | 7814 W North Ave Elmwood Park, IL - 607073536 |
Business Phone Number: | 7084562322 |
Business Fax Number: | 7084562395 |
Mailing Address: | 445 E Ohio St, Apt 3417 CHICAGO |
State: | IL |
Postal Code: | 606113302 |
Phone Number: | 6083976789 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2013 |
NPI Last Update Date: | 10/10/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 070.019938 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |