Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry M Mutua MD LLC

Organization Family Medicine Physician · NPI 1467628073

Jerry M Mutua MD LLC is a Family Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2008.

Licensed in
IL
In the registry since
2008
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

326 W 64th St
Chicago, IL 60621-3114
Phone: (773) 994-5509
Fax: (773) 994-7405
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036062092 (IL)

Record details

NPI number1467628073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Mutua — Physician/Owner · (773) 994-5502
NPI enumeratedMay 3, 2008
Last updated in NPPESApril 3, 2009
Mailing address6810 S Euclid Ave, Chicago, IL 60649-1510

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