Provider Demographics
NPI:1033276654
Name:JOHN A. GUERRIERI D.D.S. LTD
Entity Type:Organization
Organization Name:JOHN A. GUERRIERI D.D.S. LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUERRIERI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:847-250-5394
Mailing Address - Street 1:421 W IRVING PARK RD
Mailing Address - Street 2:
Mailing Address - City:ITASCA
Mailing Address - State:IL
Mailing Address - Zip Code:60143-2039
Mailing Address - Country:US
Mailing Address - Phone:847-250-5394
Mailing Address - Fax:847-250-5393
Practice Address - Street 1:421 W IRVING PARK RD
Practice Address - Street 2:
Practice Address - City:ITASCA
Practice Address - State:IL
Practice Address - Zip Code:60143-2039
Practice Address - Country:US
Practice Address - Phone:847-250-5394
Practice Address - Fax:847-250-5393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2016-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL19-0218121223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty