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Contact Information

GUADALUPE BOCANEGRA
9241 S ROBERTS RD
HICKORY HILLS, IL60457-3809
 Phone: 630-809-9041
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Phlebotomy

246RP1900X
 

Emergency Medical Technician, Basic

146N00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for GUADALUPE BOCANEGRA · (Male)

NPI # 1699386235
Status Active
Credentials
Entity Individual
Enumeration date 08/16/2020
Last updated 11/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MD License # 20-0204R15
  • TX License # 605340
  • IL Other 14D2190321 LABORATORY DIRECTOR
  • MD Other 20-0204R15 PHLEBOTOMY
  • TX Other 605340 EMT
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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