Individual
SUBHASH GUTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
600 S PAULINA ST, CHICAGO, IL 60612-3806
(312) 942-5500
Mailing address
600 S PAULINA ST, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
125.082203
IL
208600000X
Surgery Physician
Primary
125082203
IL
Other
Enumeration date
03/28/2022
Last updated
07/11/2023
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