JERRY M MUTUA MD LLC NPI 1467628073

NPI Information

JERRY M MUTUA MD LLC is a family medicine in Chicago, IL. 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. JERRY M MUTUA MD LLC NPI is 1467628073. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

326 W 64TH ST
CHICAGO, IL
ZIP 60621-114
Phone: (773) 994-5509
Fax: (773) 994-7405

The provider's authorized official is Jerry M Mutua .
The authorized official title is Physician/owner and has the following contact phone number (773) 994-5502.

The enumeration date for this NPI number is 5/3/2008 and was last updated on 4/3/2009.

Taxonomy Codes

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Other Identifiers

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