Provider Demographics
NPI:1366530503
Name:GUZMAN, ALMA (MD)
Entity type:Individual
Prefix:MS
First Name:ALMA
Middle Name:
Last Name:GUZMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 TOWER CT
Mailing Address - Street 2:SUITE 150
Mailing Address - City:GURNEE
Mailing Address - State:IL
Mailing Address - Zip Code:60031
Mailing Address - Country:US
Mailing Address - Phone:847-623-4464
Mailing Address - Fax:847-623-9984
Practice Address - Street 1:15 TOWER CT
Practice Address - Street 2:SUITE 150
Practice Address - City:GURNEE
Practice Address - State:IL
Practice Address - Zip Code:60031
Practice Address - Country:US
Practice Address - Phone:847-623-4464
Practice Address - Fax:847-623-9984
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036114477208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics