Mr Salvador Rodolfo Gutierrez Iii, MD | |
2655 N Milwaukee Ave, Chicago, IL 60647-1643 | |
(773) 489-0133 | |
Not Available |
Full Name | Mr Salvador Rodolfo Gutierrez Iii |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 36 Years |
Location | 2655 N Milwaukee Ave, 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 |
---|---|---|---|
1164522769 | NPI | - | NPPES |
036087656 | Medicaid | IL | |
01634265 | Other | BCBS | |
1710175880 | Other | IL | ORG. NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 036087656 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Presence Saints Mary And Elizabeth Medical Center | Chicago, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Presence Healthcare Services | 2860396769 | 317 |
Entity Name | Presence Healthcare Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932216819 PECOS PAC ID: 2860396769 Enrollment ID: O20050215000965 |
Mailing Address | Practice Location Address |
---|---|
Mr Salvador Rodolfo Gutierrez Iii, MD 109 Poplar Ct, Northbrook, IL 60062-1035 Ph: (847) 564-4836 | Mr Salvador Rodolfo Gutierrez Iii, MD 2655 N Milwaukee Ave, Chicago, IL 60647-1643 Ph: (773) 489-0133 |
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 |