MEDICARE: MR. SALVADOR RODOLFO GUTIERREZ III M.D.

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
1	207Q00000X	Family Medicine Physician	036087656	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	01634265	OTHER		BCBS
3	1710175880	OTHER	IL	ORG. NPI

General Provider Information

NPI Number	:	1164522769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. SALVADOR RODOLFO GUTIERREZ III M.D.

Provider Business Mailing Address
First Line	:	109 POPLAR CT
Second Line	:
City	:	NORTHBROOK
State	:	IL
Zip	:	60062-1035
Country	:	US
Telephone Number	:	847-564-4836
Fax Number	:

Provider Business Practice Location Address
First Line	:	2655 N MILWAUKEE AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60647-1643
Country	:	US
Telephone Number	:	773-489-0133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/24/2006
Last Update Date	:	07/12/2019

Similar Medicare Providers

1912960931 — DR. WILLIAM W. LI D.D.S.
Practice Location Address:

2655 N MILWAUKEE AVE
CHICAGO, IL
60647-1643

Practice Phone: 773-486-1264
Practice Fax: 773-486-9758

1497809982 — APRIL DESIREE FERNANDO PH.D
Practice Location Address:

1643 N ROCKWELL ST # 1
CHICAGO, IL
60647-5217

Practice Phone: 510-875-5552
Practice Fax:

1710175880 — S.GUTIERREZ,III,MD SC
Practice Location Address:

2655 N MILWAUKEE AVE
CHICAGO, IL
60647-1643

Practice Phone: 773-489-0133
Practice Fax: 773-862-6380

1386650885 — TAREK EL-SHIKH PT, DPT
Practice Location Address:

5764 S ARCHER AVE
CHICAGO, IL
60638-1643

Practice Phone: 773-284-0888
Practice Fax: 773-284-0880

1811905680 — ASHRAF TEBRY PT
Practice Location Address:

5764 S ARCHER AVE
CHICAGO, IL
60638-1643

Practice Phone: 773-284-0888
Practice Fax: 773-284-0880

1205907599 — IMAD BAHRANI DDS
Practice Location Address:

4254 N MILWAUKEE AVE
CHICAGO, IL
60641-1643

Practice Phone: 773-282-7906
Practice Fax: 773-427-2740

Directions to “ MR. SALVADOR RODOLFO GUTIERREZ III M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.