DR. MATTHIS MURRIETTA GUTTIERREZ MDMHSABSN NPI 1174716203

NPI Information

NPI: 1174716203
Provider Name: DR. MATTHIS MURRIETTA GUTTIERREZ, MD,MHSA,BSN
Classification: Clinic/Center - 261QC1500X
Entity Type: Individual

Specialization: Community Health

Address:
1029 E 130TH ST
CHICAGO, IL
ZIP 60628
Phone: (773) 995-6300
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DR. Matthis Murrietta Guttierrez, MD,MHSA,BSN is a community health clinic center in Chicago, IL. DR. Matthis Murrietta Guttierrez, MD,MHSA,BSN NPI is 1174716203. 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:

1029 E 130TH ST
CHICAGO, IL
ZIP 60628-908
Phone: (773) 995-6300

The enumeration date for this NPI number is 8/22/2007 and was last updated on 9/6/2007.

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	261QC1500X	Clinic/Center	Community Health		ILLINOIS	Yes

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: 11/14/2023

NPI Synchronization or Removal

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