Provider Demographics
NPI:1336421916
Name:GUERRA, ALBERTO A (PHARMD)
Entity Type:Individual
Prefix:DR
First Name:ALBERTO
Middle Name:A
Last Name:GUERRA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1811 BELVIDERE RD
Mailing Address - Street 2:
Mailing Address - City:WAUKEGAN
Mailing Address - State:IL
Mailing Address - Zip Code:60085-7221
Mailing Address - Country:US
Mailing Address - Phone:847-244-7550
Mailing Address - Fax:847-244-7380
Practice Address - Street 1:1811 BELVIDERE RD
Practice Address - Street 2:
Practice Address - City:WAUKEGAN
Practice Address - State:IL
Practice Address - Zip Code:60085-7221
Practice Address - Country:US
Practice Address - Phone:847-244-7550
Practice Address - Fax:847-244-7380
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051287562183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist