Most Relevant Information
Provider Data
NPI Number: | 1003599309 |
Provider Name: | MICHELLE LYNNE GUIDRY APRFNP |
Entity Type: | Individual |
Taxonomy Code: | 363LF0000X |
Specialty: | Nurse Practitioner |
License Number: | 2022067755 |
Most Important Dates
Enumeration Date: | 08/11/2023 |
Last Updated: | 07/02/2024 |
Provider Practice Location
2003 W FULTON ST # 303
CHICAGO
IL
606122345
Practice Location Phone/Fax
Phone: | 6129631114 |
Fax: | 3122432227 |
Provider Mailing Location
2003 W FULTON ST # 303
CHICAGO
IL
606122345
Provider Mailing Phone/Fax
Phone: | 6129631114 |
Fax: | 3122432227 |