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Individual

MS. MERCEDES A GUTIERREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1162 W 19TH ST, APT 4, CHICAGO, IL 60608-3392
(773) 742-7023
Mailing address
1162 W 19TH ST, APT 4, CHICAGO, IL 60608-3392
(773) 742-7023

Taxonomy

Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
G36254083756
IL

Other

Enumeration date
01/20/2012
Last updated
01/20/2012
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