NPI 1003372426
Jessica Guzman, COTAL
Practice location
- Address
- 3156 S Komensky Ave, Chicago, IL 60623-4913
- Phone
- (773) 698-4156
- Mailing address
- 66 W Oak St, Chicago, IL 60610-7325
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003372426
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Feb 2019
- Record last updated
- 11 Feb 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.