| Yesenia Guzman, | |
|
600 W Lake Cook Rd Ste 120, Buffalo Grove, IL 60089-2085 | |
| (847) 808-8884 | |
| (847) 808-8890 |
| Full Name | Yesenia Guzman |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 600 W Lake Cook Rd Ste 120, Buffalo Grove, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043955818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085009171 (Illinois) | Primary |
| Entity Name | Bonaventure Medical Foundation LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
| Mailing Address | Practice Location Address |
|---|---|
| Yesenia Guzman, 600 W Lake Cook Rd Ste 120, Buffalo Grove, IL 60089-2085 Ph: Not Available | Yesenia Guzman, 600 W Lake Cook Rd Ste 120, Buffalo Grove, IL 60089-2085 Ph: (847) 808-8884 |
Mireya Ledesma, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 W Lake Cook Rd Ste 120, Buffalo Grove, IL 60089 Phone: 847-808-8884 |
Amy Cartwright Brownlee, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 600 W Lake Cook Rd Ste 110, Buffalo Grove, IL 60089 Phone: 847-459-6611 Fax: 847-459-7929 |
Rebecca A Griesemer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15 S Mchenry Rd, Buffalo Grove, IL 60089 Phone: 847-618-0351 Fax: 847-618-0766 |
Kristin Hornaday, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15 S Mchenry Rd, Buffalo Grove, IL 60089 Phone: 847-618-0351 Fax: 847-618-0766 |
Ms. Neha Bhupendra Shah, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 W Lake Cook Rd, Suite 120, Buffalo Grove, IL 60089 Phone: 847-808-8884 Fax: 847-808-8890 |
Mrs. Diane Beth Torbeck, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 600 W Lake Cook Rd, Buffalo Grove, IL 60089 Phone: 847-808-8884 Fax: 847-808-8890 |
Anastasia Rose Sakkos, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15 S Mchenry Rd, 2nd Floor, Buffalo Grove, IL 60089 Phone: 847-618-0351 Fax: 847-618-0766 |