person
Dr. Mario Gutierrez, MD
Student in an Organized Health Care Education/Training Program in Peoria, Illinois
NPI 1801283635

Mario Gutierrez is a Student in an Organized Health Care Education/Training Program based in Chino, IL. Mario Gutierrez practices in Peoria, IL and has the professional credentials of MD. The NPI Number for Mario Gutierrez is 1801283635 and holds a License No. (Illinois).

The current practice location address for Mario Gutierrez is 1109 W Main St Apt 505, Peoria, IL and can be reached out via phone at 714-349-5704.

Location: 1109 W Main St Apt 505, Peoria, IL, 91710-8345
person
Provider Profile Details
NPI Number
1801283635
Provider Name
Mario Gutierrez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1109 W Main St Apt 505, Peoria, IL, 91710-8345
Phone Number
714-349-5704
Fax Number
Provider Enumeration Date
04/20/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1109 W Main St Apt 505
City
State
Zip
61606-1385
Phone Number
714-349-5704
Fax Number
person
Provider Business Mailing Address Details
Address
1109 W Main St Apt 505
City
State
Zip
61606-1385
Phone Number
714-349-5704
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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