Provider Demographics
NPI:1124777081
Name:GUERRA, ESMERALDA (LNA)
Entity type:Individual
Prefix:
First Name:ESMERALDA
Middle Name:
Last Name:GUERRA
Suffix:
Gender:F
Credentials:LNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2551 GALILEE AVE
Mailing Address - Street 2:
Mailing Address - City:ZION
Mailing Address - State:IL
Mailing Address - Zip Code:60099-2415
Mailing Address - Country:US
Mailing Address - Phone:224-538-8417
Mailing Address - Fax:
Practice Address - Street 1:2551 GALILEE AVE
Practice Address - Street 2:
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099-2415
Practice Address - Country:US
Practice Address - Phone:224-538-8417
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-19
Last Update Date:2022-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2467923747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant