MRS. LATRIESE GUYTON (NPI# 1184843872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184843872 |
Entity Type | Individual |
Full Name | MRS. LATRIESE GUYTON |
Credential | R.N. |
Practice Address |
12723 Honore St Blue Island IL 60406-2205 |
Practice Telephone | 7084895798 |
Mailing Telephone | 7084895798 |
Enumeration Date | 2007-04-24 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WN1003X |
Registered Nurse Specialization: Nutrition Support |
IL | Nursing Service Providers |
Street Address |
12723 HONORE ST |
City | BLUE ISLAND |
State | IL |
Zip Code | 60406-2205 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780205708 | Cook County | Family Medicine | 12757 S. Western Ave, Blue Island, IL 60406 | 2020-04-30 |
1942842810 | Blue Island Smiles PC | Dentist | 12059 Western Avenue, Blue Island, IL 60406 | 2019-10-12 |
1609438738 | Maisha Safford | Developmental Therapist | 2262 W. 120th Place, Blue Island, IL 60406 | 2019-06-28 |
1891279709 | Renjith Thomas | Physical Therapy Assistant | Therapy Department, 1546 W Water Stret, Blue Island, IL 60406 | 2018-09-18 |
1982182994 | Lifehouse Health Group,llc | Clinic/Center | 14127 Levitt Ave, Dixmoor, IL 60406 | 2018-08-01 |
1063923159 | Sarah Lynn Presser | Speech-Language Pathologist | 2975 W Broadway, Blue Island, IL 60406 | 2017-10-17 |
1174070676 | Aunt Martha's Youth Service Center | Clinic/Center | 12139 S. Western Ave, Blue Island, IL 60406 | 2016-09-01 |
1427429141 | Pamela Kilcrease | Case Manager/Care Coordinator | 2247 119th Street, Apt 6, Blue Island, IL 60406 | 2015-10-08 |
1639587025 | D2 Dental At Oak Street, P.C. | Dentist | 3046 West 127th Street, Blue Island, IL 60406 | 2014-07-29 |
1700299658 | Daniel Ahrens | Optometrist | 13114 S Western Ave, Blue Island, IL 60406 | 2014-06-09 |
Find all providers in zip 60406 |
Taxonomy Code | 163WN1003X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Nutrition Support |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245588961 | Fallon Marquita Flowers | Registered Nurse | 13000 Maple Ave, Blue Island, IL 60406-2318 | 2012-08-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245769322 | Marshall James Ayer | Registered Nurse | 156 Il Highway 15, Bluford, IL 62814-3630 | 2017-06-12 |
1154678019 | Keesha Monique Rimmer | Registered Nurse | 500 East 33rd St. Apt. 1100, Chicago, IL 60616-4242 | 2012-08-10 |
1780943639 | Marcia B Marshall | Registered Nurse | 217 Riverside Dr, Dolton, IL 60419-1430 | 2012-05-14 |
1255850533 | Loretta Kulczycki | Registered Nurse | 2425 W 22nd St, Oak Brook, IL 60523-1245 | 2017-09-18 |
City | BLUE ISLAND |
Zip Code | 60406 |
Please comment or provide details below to improve the information on MRS. LATRIESE GUYTON.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.