Individual
MAYA CONSUELO GUTIERREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC./ M.S.O.M.
Contact information
Practice address
238 W. CERMAK, FL. 3 UNIT D, CHICAGO, IL 60616
(312) 225-0024
Mailing address
2605 N. ST. LOUIS AVE., FL. 2, CHICAGO, IL 60647-9739
(312) 405-4487
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.000811
IL
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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