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JERRY M MUTUA MD LLC
NPI 1467628073
Family Medicine in Chicago, IL

Active since May 03, 2008
326 W 64TH ST, CHICAGO, IL 60621(773) 994-5509(773) 994-7405 Get Directions Write a Review

NPPES record last updated: April 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jerry M Mutua Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERRY M MUTUA MD LLC (NPI 1467628073) is a healthcare organization registered as a family medicine in Chicago, Illinois and active in the NPI registry since May 2008. The organization lists Jerry M Mutua, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1467628073
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJERRY M MUTUA MD LLC
Location Address326 W 64TH STChicago, IL 60621-3114
Mailing Address6810 S Euclid AveChicago, IL 60649-1510 · (773) 994-5509 · Fax (773) 994-7405
Phone(773) 994-5509
Fax(773) 994-7405
Organization SubpartNo
Authorized OfficialJerry M MutuaPhysician/owner · (773) 994-5502
Enumeration DateMay 3, 2008
Last NPPES UpdateApril 3, 2009
✔ NPI 1467628073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036062092
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
326 W 64TH ST, Chicago, IL 60621
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Other Identifiers 4

Medicare UPIND14780IL
Medicaid036062092IL
Medicare PINIL1219IL
Medicare PIN210515IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIA RIZA BAUTISTA MD SC
Clinic/Center
326 W 64TH ST, SUITE # 302
CHICAGO, IL 60621
Cook County (773) 487-5224
MRS. CARMESHA PATRICE CARRINGTON FNP-C
Nurse Practitioner (Family)
326 W 64TH ST
CHICAGO, IL 60621
Cook County (773) 962-3900
SARAH BUCKLEY
Dietitian, Registered
326 W 64TH ST
CHICAGO, IL 60621
Cook County (773) 962-4201
DR. JACQUES FOURCAND M.D.
Internal Medicine (Cardiovascular Disease)
326 W 64TH ST, SUITE 208
CHICAGO, IL 60621
Cook County (773) 962-3900
DR. BRAHMA N GUPTA M.D.
Internal Medicine (Pulmonary Disease)
326 W 64TH ST, SUITE 208
CHICAGO, IL 60621
Cook County (773) 962-3900
CATHERINE M WILBERT, MD, FACOG, SC
Obstetrics & Gynecology
326 W 64TH ST
CHICAGO, IL 60621
Cook County (773) 962-4644
EUGENE CHUKUDEBELU MD SC
Internal Medicine (Cardiovascular Disease)
326 W 64TH ST, SUITE 318
CHICAGO, IL 60621
Cook County (773) 723-9500
WOMEN'S HEALTH CENTER SOUTH
Obstetrics & Gynecology
326 W 64TH ST
CHICAGO, IL 60621
Cook County (773) 962-4644

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jerry M Mutua MD LLC's NPI number?

The NPI number for Jerry M Mutua MD LLC is 1467628073. It was assigned to this organization in the NPPES registry on May 3, 2008.

Where is Jerry M Mutua MD LLC located?

Jerry M Mutua MD LLC is located at 326 W 64th St, Chicago, IL 60621. The listed phone number is (773) 994-5509.

What is Jerry M Mutua MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Jerry M Mutua MD LLC was last updated on April 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.