Dr Jerry M Mutua, MD | |
326 W 64th St, St. Bernards Hospital, Chicago, IL 60621-3114 | |
(773) 994-5502 | |
(773) 994-7405 |
Full Name | Dr Jerry M Mutua |
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Gender | Male |
Speciality | Family Practice |
Experience | 49 Years |
Location | 326 W 64th St, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184686149 | NPI | - | NPPES |
207Q0000X | Other | IL | TAXONOMY |
036062092 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036062092 (Illinois) | Primary |
Entity Name | Foundation For Emergency Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467468280 PECOS PAC ID: 4981504198 Enrollment ID: O20040113000338 |
Entity Name | Jerry M Mutua Md Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467628073 PECOS PAC ID: 1658337928 Enrollment ID: O20041208000492 |
Mailing Address | Practice Location Address |
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Dr Jerry M Mutua, MD 6810 S Euclid Ave, Chicago, IL 60649-1510 Ph: (773) 994-5502 | Dr Jerry M Mutua, MD 326 W 64th St, St. Bernards Hospital, Chicago, IL 60621-3114 Ph: (773) 994-5502 |
Dr. Ayesha Hussain, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 2424 W. Peterson Ave, Chicago, IL 60659 Phone: 773-761-0300 | |
Dr. Ernesto Estor, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3525 W Peterson Ave, Suite 210, Chicago, IL 60659 Phone: 773-293-6671 Fax: 773-961-8102 | |
Dr. Keri Leah Fair, M.D., PH.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4600 N Ravenswood Ave, 2nd Floor, Chicago, IL 60640 Phone: 773-561-7500 Fax: 773-561-7612 | |
Maximiliano Luna Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2001 S California Ave, Chicago, IL 60608 Phone: 773-584-6200 | |
Suyeun Ban, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1501 S California Ave Ste L1026, Chicago, IL 60608 Phone: 773-257-6097 | |
Dr. Gabrielle Denise Gay, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5425 W Lake St, Chicago, IL 60644 Phone: 773-378-3347 Fax: 773-378-4028 | |
Wilson Ching, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1740 W Taylor St, Chicago, IL 60612 Phone: 866-600-2273 |