Provider Demographics
NPI:1588616288
Name:GUTIERREZ-STEIL, CHRISTINA (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINA
Middle Name:
Last Name:GUTIERREZ-STEIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:
Other - Last Name:GUTIERREZ-STEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:125 W 2ND ST
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-4014
Mailing Address - Country:US
Mailing Address - Phone:630-455-0045
Mailing Address - Fax:630-455-0955
Practice Address - Street 1:125 W 2ND ST
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-4014
Practice Address - Country:US
Practice Address - Phone:630-455-0045
Practice Address - Fax:630-455-0955
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL36099765207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036099765Medicaid
IL036099765Medicaid