Roberto J Gutierrez, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036074728 Issued in IL

Practice address

3223 Harlem Ave
Berwyn, IL 60402-2807

Phone

(708) 484-1800

Fax

(708) 484-1801

NPI assigned

Jan 2, 2013

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Taylor Medical Center S.C.

  • Clinic/Center
  • Berwyn, IL
  • NPI 1285878801
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357084800000",
    "number": "1023354529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022807",
            "telephone_number": "708-484-1800",
            "fax_number": "708-484-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 HARLEM AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022807",
            "telephone_number": "708-484-1800",
            "fax_number": "708-484-1801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ROBERTO",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036074728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Guido, DDS
• Diorella Guloy, DO
• Yili Guo, M.D.
• Prashant Guragain
• Lauren Gustafson, MS, RD, LDN
• Monica Guzman
• Valeriano Guzman, MD
• Albert Gyato, MBCHB
• Israr Habib
• Hablame Speech Therapy

• Internal Medicine Physician in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.