Provider Demographics
NPI:1689783219
Name:PIERRE, GUERLINE (DC)
Entity type:Individual
Prefix:DR
First Name:GUERLINE
Middle Name:
Last Name:PIERRE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:GUERLINE
Other - Middle Name:
Other - Last Name:PIERRE-DEAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 M WEST 15TH STREET
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60605
Mailing Address - Country:US
Mailing Address - Phone:847-922-2889
Mailing Address - Fax:312-957-0898
Practice Address - Street 1:1101 WEST HOWARD STREET #103
Practice Address - Street 2:
Practice Address - City:EVANSON
Practice Address - State:IL
Practice Address - Zip Code:60202
Practice Address - Country:US
Practice Address - Phone:847-922-2889
Practice Address - Fax:312-957-0898
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
386000Medicare UPIN