| Rafael Perez-guerra | |
|
16003 Executive Dr Crest Hill IL 60403-0500 | |
| (815) 838-9544 | |
| (815) 838-9580 |
| Full Name | Rafael Perez-guerra |
|---|---|
| Speciality | Family Medicine |
| Location | 16003 Executive Dr, Crest Hill, Illinois |
| Authorized Official Name and Position | Rafael Perez-guerra (OWNER) |
| Authorized Official Contact | 8157442344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rafael Perez-guerra 16003 Executive Dr Crest Hill IL 60403-0500 Ph: (815) 838-9544 | Rafael Perez-guerra 16003 Executive Dr Crest Hill IL 60403-0500 Ph: (815) 838-9544 |
| NPI Number | 1568693745 |
|---|---|
| Provider Enumeration Date | 08/05/2009 |
| Last Update Date | 09/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568693745 | NPI | - | NPPES |
| 036057264 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036057264 (Illinois) | Primary |
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