Active NPI
Maya Consuelo Gutierrez, L.AC./ M.S.O.M.
- Acupuncturist
- Chicago, IL
National Provider Identifier
1992033633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 198.000811
- Practice address
- 238 W. Cermak
FL. 3 Unit D
Chicago, IL 60616 - Phone
- (312) 225-0024
- NPI assigned
- Nov 18, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 198.000811 | IL | Primary |
Addresses
Primary practice location
238 W. Cermak
FL. 3 Unit D
Chicago, IL 60616
Mailing address
2605 N. St. Louis Ave.
FL. 2
Chicago, IL 60647-9739
Phone (312) 405-4487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198.000811 | IL | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258502400000",
"number": "1992033633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 N. ST. LOUIS AVE.",
"address_2": "FL. 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606479739",
"telephone_number": "312-405-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 W. CERMAK",
"address_2": "FL. 3 UNIT D",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60616",
"telephone_number": "312-225-0024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ",
"first_name": "MAYA",
"middle_name": "CONSUELO",
"credential": "L.AC./ M.S.O.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-11-18",
"last_updated": "2009-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "IL",
"license": "198.000811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.