Gutierrez, Mary Lou
Gutierrez, Mary Lou is an individual health care provider with primary practice located at 4100 Healthway Dr , Aurora IL 60504-4163. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Gutierrez, Mary Lou can be contacted via phone (630) 851-3105.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036107891 | Illinois |
Profile Details
| NPI number | 1992913412 |
|---|---|
| LBN Legal business name | Gutierrez, Mary Lou |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2007 |
| Last updated | Nov 6th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992913412 | NPPES |
| Illinois | MEDICAID | 036107891 |
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