Provider Demographics
NPI:1679750749
Name:GUTE, DAVID M
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:M
Last Name:GUTE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4817 W GLENBROOK TRL
Mailing Address - Street 2:
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050-5492
Mailing Address - Country:US
Mailing Address - Phone:815-759-1776
Mailing Address - Fax:815-344-1211
Practice Address - Street 1:4817 W GLENBROOK TRL
Practice Address - Street 2:
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050-5492
Practice Address - Country:US
Practice Address - Phone:815-759-1776
Practice Address - Fax:815-344-1211
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter