Organization
JERRY M MUTUA MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY M MUTUA M.D. (PHYSICIAN/OWNER)
(773) 994-5502
Entity
Organization
Contact information
Practice address
326 W 64TH ST, CHICAGO, IL 60621-3114
(773) 994-5509
(773) 994-7405
Mailing address
6810 S EUCLID AVE, CHICAGO, IL 60649-1510
(773) 994-5509
(773) 994-7405
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036062092
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062092
—
IL
Enumeration date
05/03/2008
Last updated
04/03/2009
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us