Individual
JEMUEL GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3422
Mailing address
5033 N SPRINGFIELD AVE # GS, CHICAGO, IL 60625-6171
(773) 319-8596
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005401
IL
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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