Bertha Patricia Gutierrez M.D.

NPI 1093987000 - Family Medicine - 207Q00000X

NPI Details
NPI 1093987000
Gender Female
Enumeration Date 03/31/2008
Last Updated 12/07/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
5647 W ADDISON ST
CHICAGO IL, 60634-4403, US
Phone (773) 736-1830
Fax (773) 736-1840
Business Location
1431 N WESTERN AVE
SUITE 401
CHICAGO IL, 60622-1797, US
Phone (312) 699-5841
Fax (312) 491-5485
Toxanomy
Taxonomy Code 207Q00000X
License State Illinois
License Number 036123675
Remove 1093987000 NPI Number
 

According to our database, Bertha Patricia Gutierrez M.D. NPI is 1093987000, taxonomy code is 207Q00000X and license number is 036123675, license state is located at Illinois. Bertha Patricia Gutierrez M.D. physically located at 5647 W Addison St, Chicago IL, 60634-4403. NPI Number Bertha Patricia Gutierrez M.D. has the Individual type.

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1093987000 NPI number is provided on an as is basis without warranty of any kind. 1093987000 is maintained by the National Plan & Provider Enumeration System. The contents of Bertha Patricia Gutierrez M.D. are for informational purposes only.