S.GUTIERREZ,III,MD SC
NPI 1710175880
Clinic/Center - Primary Care in Chicago, IL

Active since October 14, 2007
2655 N MILWAUKEE AVE, CHICAGO, IL 60647(773) 489-0133(773) 862-6380 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About S.gutierrez,iii,md Sc NPPES

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

S.GUTIERREZ,III,MD SC (NPI 1710175880) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since October 2007. The organization lists Salvador Rodolfo Gutierrez, President, as its authorized official.

NPPES Registry Identity

NPI1710175880
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameS.GUTIERREZ,III,MD SC
Location Address2655 N MILWAUKEE AVEChicago, IL 60647-1643
Mailing Address2655 N Milwaukee AveChicago, IL 60647-1643 · (773) 489-0133 · Fax (773) 862-6380
Fax(773) 862-6380
Organization SubpartNo
Authorized OfficialSalvador Rodolfo GutierrezPresident · (773) 489-0133
Enumeration DateOctober 14, 2007
Last NPPES UpdateOctober 25, 2007
NPI 1710175880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
2655 N MILWAUKEE AVE, Chicago, IL 60647

Other Identifiers 5

Other1164522769IL · Npi
Medicare UPINF32805IL
Medicare PINK06618IL
Other01634265IL · Bcbs
Other209035IL · Medicare Grp. Id

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
2655 N MILWAUKEE AVE
CHICAGO, IL 60647
Family Medicine
2655 N MILWAUKEE AVE
CHICAGO, IL 60647

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710175880, enumerated as an "organization" on October 14, 2007.

The provider is located at 2655 N MILWAUKEE AVE CHICAGO, IL 60647 and the phone number is (773) 489-0133.

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.