Guillermo Guillen Bastidas, SURGICALASSISTANT
Guillermo Guillen Bastidas, SURGICALASSISTANT is a Surgical Assistant in Mokena, Illinois. Licensed in Illinois. Registered with an NPI since 2022.
- Licensed in
- IL
- In the registry since
- 2022
Practice location Address checks out
19015 S Jodi Rd Ste HMokena, IL 60448-8534
Phone: (866) 787-4452
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Specialties & licences
| Surgical Assistant (primary) | Taxonomy 246ZC0007X · Licence 238.000761 (IL) |
|---|
Record details
| NPI number | 1912614819 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | SURGICALASSISTANT |
| Sole proprietor | No |
| NPI enumerated | October 31, 2022 |
| Last updated in NPPES | October 31, 2022 |
| Certification date | October 31, 2022 |
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Khaled Aboushaala
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Rosalba Chirinos, SA
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Mohamad Jalab, RSA
19015 S Jodi Rd Ste H, Mokena, IL 60448-8534 · (708) 995-5418
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Juan Luis La Riva, SA
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