Individual
DR. MATTHIS MURRIETTA GUTTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,MHSA,BSN
Contact information
Practice address
1029 E 130TH ST, CHICAGO, IL 60628-6908
(773) 995-6300
Mailing address
1029 E 130TH ST, CHICAGO, IL 60628-6908
(773) 995-6300
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
IL
Other
Enumeration date
08/22/2007
Last updated
09/06/2007
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