Provider Demographics
NPI:1528682887
Name:GUERRA-BAUMAN, FRANCIS (MD)
Entity type:Individual
Prefix:
First Name:FRANCIS
Middle Name:
Last Name:GUERRA-BAUMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 NW 10TH ST STE 1
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62837-1216
Mailing Address - Country:US
Mailing Address - Phone:618-842-4617
Mailing Address - Fax:618-847-8387
Practice Address - Street 1:213 NW 10TH ST STE 1
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:IL
Practice Address - Zip Code:62837-1216
Practice Address - Country:US
Practice Address - Phone:618-842-4617
Practice Address - Fax:618-842-4743
Is Sole Proprietor?:No
Enumeration Date:2020-06-02
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036165861207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine