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Guadalupe Bocanegra
Phlebotomy Technician in Hickory Hills, Illinois
NPI 1699386235

Guadalupe Bocanegra is a Phlebotomy Technician based in Hickory Hills, IL and is specialized in Phlebotomy. Guadalupe Bocanegra practices in Hickory Hills, IL. The NPI Number for Guadalupe Bocanegra is 1699386235 and holds a License No. 605340 (Illinois).

The current practice location address for Guadalupe Bocanegra is 9241 S Roberts Rd, Hickory Hills, IL and can be reached out via phone at 630-809-9041.

Location: 9241 S Roberts Rd, Hickory Hills, IL, 60457-3809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699386235
Provider Name
Guadalupe Bocanegra
Credential
Provider Entity Type
Individual
Gender
Male
Address
9241 S Roberts Rd, Hickory Hills, IL, 60457-3809
Phone Number
630-809-9041
Fax Number
Provider Enumeration Date
08/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14D2190321 01 IL LABORATORY DIRECTOR
20-0204R15 01 MD PHLEBOTOMY
605340 01 TX EMT
institution
Provider Business Practice Location Address Details
Address
9241 S Roberts Rd
City
Hickory Hills
State
Illinois
Zip
60457-3809
Phone Number
630-809-9041
Fax Number
person
Provider Business Mailing Address Details
Address
9241 S Roberts Rd
City
Hickory Hills
State
Illinois
Zip
60457-3809
Phone Number
630-809-9041
Fax Number
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
20-0204R15 (Maryland)
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Illinois)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
246RP1900X
License No.
605340 (Texas)
Definition
Definition to come...
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