Individual
ESTEFANIA GAUTO-MARIOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(224) 714-8150
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-152479
IL
207RH0000X
Hematology (Internal Medicine) Physician
Primary
77100
MN
207RH0003X
Hematology & Oncology Physician
036.152479
IL
208M00000X
Hospitalist Physician
036-152479
IL
Other
Enumeration date
06/07/2017
Last updated
10/21/2024
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