Provider Demographics
NPI:1114232386
Name:GUILLOU, ISABELLE (APRN-FPA, CNM)
Entity Type:Individual
Prefix:
First Name:ISABELLE
Middle Name:
Last Name:GUILLOU
Suffix:
Gender:F
Credentials:APRN-FPA, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17W681 CONCORD PL
Mailing Address - Street 2:
Mailing Address - City:DARIEN
Mailing Address - State:IL
Mailing Address - Zip Code:60561-5124
Mailing Address - Country:US
Mailing Address - Phone:630-230-4577
Mailing Address - Fax:630-383-7224
Practice Address - Street 1:626 E OGDEN AVE
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-3237
Practice Address - Country:US
Practice Address - Phone:630-230-4577
Practice Address - Fax:630-230-4552
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041300677367A00000X
IL377-000306367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife