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NPI Code Detail

MEDICARE: MERCEDES GUTIERREZ DBA CONNECTING DOTS

MEDICARE: MERCEDES GUTIERREZ DBA CONNECTING DOTS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1073983821
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERCEDES GUTIERREZ DBA CONNECTING DOTS
Provider Business Mailing Address
First Line : 6349 S LONG AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-5616
Country : US
Telephone Number : 773-742-7023
Fax Number :
Provider Business Practice Location Address
First Line : 6349 S LONG AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-5616
Country : US
Telephone Number : 773-742-7023
Fax Number :
Authorized Official
Title or Position : INTERPRETER
Name : MERCEDES GUTIERREZ
Credential :
Telephone Number : 773-742-7023
Provider Enumeration Date : 10/05/2015
Last Update Date : 10/05/2015

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Directions to “MERCEDES GUTIERREZ DBA CONNECTING DOTS ” Practice Location

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