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

Mr. Salvador Rodolfo Gutierrez III, MD

Individual provider Family Medicine Physician · NPI 1164522769

Mr. Salvador Rodolfo Gutierrez III, MD is a Family Practice in Chicago, Illinois. Qualified in 1988, 38 years ago. Practices with Prime Healthcare Illinois Medical Group LLC, a 281-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
38
Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2655 N Milwaukee Ave
Chicago, IL 60647-1643
Phone: (773) 489-0133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2923 N California Ave Ste 200, Chicago, IL 60618-7702 — (773) 463-3460

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036087656 (IL)

Record details

NPI number1164522769
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedSeptember 24, 2006
Last updated in NPPESJuly 12, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Prime Healthcare Illinois Medical Group Llc — 281 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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