Provider Demographics
NPI:1316715642
Name:GUIDER, JANICE F (CHES)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:F
Last Name:GUIDER
Suffix:
Gender:F
Credentials:CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-4315
Mailing Address - Country:US
Mailing Address - Phone:630-234-6749
Mailing Address - Fax:630-357-6048
Practice Address - Street 1:811 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-4315
Practice Address - Country:US
Practice Address - Phone:630-234-6749
Practice Address - Fax:630-357-6048
Is Sole Proprietor?:No
Enumeration Date:2023-12-15
Last Update Date:2023-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL31190174H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator