Doctor Name: | ANDREW GUSCHWAN |
NPI Number: | 1699805614 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M,D. |
License Number: | |
Business Practice Address: | 501 Ella Ave Joliet, IL - 604332799 |
Business Phone Number: | 8157404416 |
Business Fax Number: | 8157278436 |
Mailing Address: | 421 Central Rd, NEW LENOX |
State: | IL |
Postal Code: | 604513310 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/07/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |