Qian Guo M.D

NPI 1962444208 - Specialist - 174400000X

NPI Details
NPI 1962444208
Gender Male
Enumeration Date 06/12/2006
Last Updated 04/20/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
1225 W LAKE ST
MELROSE PARK IL, 60160-4039, US
Phone (708) 681-3000
Fax
Business Location
3998 FAIR RIDGE DR
SUITE 300
FAIRFAX UT, 22033-2921, US
Phone (703) 295-9360
Fax (703) 766-9725
Toxanomy
Taxonomy Code 174400000X
License State Indiana
License Number 01056116A
Remove 1962444208 NPI Number
 

According to our database, Qian Guo M.D NPI is 1962444208, taxonomy code is 174400000X and license number is 01056116A, license state is located at Indiana. Qian Guo M.D physically located at 1225 W Lake St, Melrose Park IL, 60160-4039. NPI Number Qian Guo M.D has the Individual type.

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1962444208 NPI number is provided on an as is basis without warranty of any kind. 1962444208 is maintained by the National Plan & Provider Enumeration System. The contents of Qian Guo M.D are for informational purposes only.