Dr. Gawtham Gutta
Internist - Addiction Medicine
2100 Glenwood Ave
Joliet
, Illinois 60435-5487
Dr. Gawtham Gutta
Internist - Addiction Medicine
2100 Glenwood Ave
Joliet
, Illinois 60435-5487
(630) 469-9200
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About
Features
Specialties
- Internist - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. Gawtham Gutta
- 1860 Paysphere Cir
- Chicago, IL
- Zip : 60674-0018
- Phone : (630) 469-9200
Second Address
- Dr. Gawtham Gutta
- 2100 Glenwood Ave
- Joliet, IL
- Zip : 60435-5487
- Fax : (815) 741-6314
- Phone : (815) 725-2121
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FAQs
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Is Dr. Gawtham Gutta a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RA0401X | Internist - Addiction Medicine | 036111915 | IL |
National Provider Identifier
| NPI | 1245262617 |
|---|---|
| Provider Name | Dr. Gawtham Gutta |
| First Address | Chicago, IL 60674-0018 |
| Second Address | Joliet, IL 60435-5487 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/07/2006 |
| Last Update Date | 30/10/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036111915 | (05) | IL |
| 200671848 | TAX ID (01) | IL |
| 4434036 | CIGNA (01) | IL |
| 7833585 | AETNA (01) | IL |
| I18893 | (02) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.