Individual
VERA HELENA MASUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
800 BIESTERFIELD RD, ALEXIAN BROTHERS MEDICAL CENTER, ELK GROVE, IL 60007
(847) 437-5500
(630) 734-1560
Mailing address
PO BOX 87904, DEPT 2049, CAROL STREAM, IL 60188
(630) 734-0200
(630) 734-1560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
02003618A
IN
207P00000X
Emergency Medicine Physician
Primary
036083100
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036083100
—
IL
Enumeration date
12/02/2005
Last updated
11/05/2020
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