GUADALUPE BOCANEGRA NPI 1699386235

NPI Information

NPI: 1699386235
Provider Name: GUADALUPE BOCANEGRA
Classification: Technician, Pathology - 246RP1900X
Entity Type: Individual

Specialization: Phlebotomy

Address:
9241 S ROBERTS RD
HICKORY HILLS, IL
ZIP 60457
Phone: (630) 809-9041
Get Directions

Guadalupe Bocanegra is a phlebotomy technician pathology in Hickory Hills, IL. Guadalupe Bocanegra NPI is 1699386235. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9241 S ROBERTS RD
HICKORY HILLS, IL
ZIP 60457-809
Phone: (630) 809-9041

The enumeration date for this NPI number is 8/16/2020 and was last updated on 11/23/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	146N00000X	Emergency Medical Technician, Basic		605340	TEXAS	No
2	174400000X	Specialist			ILLINOIS	No
3	246RP1900X	Technician, Pathology	Phlebotomy	20-0204R15	MARYLAND	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	14D2190321	OTHER	ILLINOIS	LABORATORY DIRECTOR
2	605340	OTHER	TEXAS	EMT
3	20-0204R15	OTHER	MARYLAND	PHLEBOTOMY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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