Individual provider · Type 1 NPI

Jose Dutra, MD

Otolaryngology Physician · Chicago, IL

NPI number 1760418768 Active

Practice location

675 N Saint Clair St, Galter 15-200
Chicago, IL 60611-5975

Fax (312) 695-7851

Mailing address

680 N Lake Shore Dr, Suite 1000
Chicago, IL 60611-4546

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X036102537 (IL)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1760418768

Jose Dutra, MD's National Provider Identifier is 1760418768, issued on Jun 23, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Chicago, IL. The record was last updated on Jun 30, 2009.