DR. Jerry M Mutua, M.D. is a family medicine in Chicago, IL with 49 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Jerry M Mutua, M.D. NPI is 1184686149. 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:
326 W 64TH ST
ST. BERNARDS HOSPITAL
CHICAGO, IL
ZIP 60621-114
Phone: (773) 994-5502
Fax: (773) 994-7405
The NPI 1184686149 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The CLIA number assigned to this NPI record is 14D1048517 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/5/2006 and was last updated on 2/25/2009.