Individual
ADRIANA GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4155 W 82ND PL, CHICAGO, IL 60652-2937
(773) 981-3191
Mailing address
4155 W 82ND PL, CHICAGO, IL 60652-2937
(773) 981-3191
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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