Individual
DR. LARA GUTIERREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1730 W FULLERTON AVE, CHICAGO, IL 60614-1900
(773) 327-3000
(773) 327-3015
Mailing address
3804 W 62ND ST, CHICAGO, IL 60629-4619
(773) 327-3000
(773) 327-3015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.009525
IL
Other
Enumeration date
07/12/2006
Last updated
10/04/2010
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