SearchIllinois1041C0700X

Jesse Gutierrez

NPI 1891282760 · on the registry since 2018

Practice

Address
901 N 1st St Ste 225
Springfield, IL 62702
Phone
(217) 788-4065
Organisation at this address
Mental Health Centers Of Central Illinois
Inferred from a shared address, not stated in the registry.
Clinicians at this address
32

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-04-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois