S.Gutierrez,Iii,Md Sc

LBN: S.Gutierrez,Iii,Md Sc
S.Gutierrez,Iii,Md Sc is an health care organization with primary practice located at 2655 N Milwaukee Ave , Chicago IL 60647-1643. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. S.Gutierrez,Iii,Md Sc can be contacted via phone (773) 489-0133, or through Gutierrez, Salvador Rodolfo via phone (773) 489-0133.

Contact Information

Primary practice address
2655 N Milwaukee Ave Chicago IL 60647-1643
Phone: (773) 489-0133
Fax: (773) 862-6380
Website:
Map and Directions
Authorized official contact:
Name: Gutierrez, Salvador Rodolfo Doctor of Medicine (MD)
Phone: (773) 489-0133

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X Illinois

Profile Details

NPI number 1710175880
LBN Legal business name S.Gutierrez,Iii,Md Sc
DBA Doing business as
Authorized official Gutierrez, Salvador Rodolfo Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2007
Last updated Oct 25th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710175880 NPPES
Illinois Other 1164522769 NPI
Illinois Other 01634265 NPI
Illinois Other 209035 NPI

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