National Provider Identifier Database

ILITCH DIAZ GUTIERREZ, MD – NPI #1629209366
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.


Contact Information

ILITCH DIAZ GUTIERREZ, MD
1655 BEAM AVE STE 302
MAPLEWOOD, MN55109-1477
Phone: 651-227-6351
Fax:
Website:
Specialty Taxonomy Code
* Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X
Surgery 208600000X

* Indicates primary specialty

NPI Profile & details for ILITCH DIAZ GUTIERREZ

NPI Number 1629209366
Credentials MD
Entity Individual
Enumeration date 07/29/2009
Last updated 08/30/2018 - About 8 years ago
Sole proprietor1 Yes
Identifiers
  • MN License #: 63088
  • NM License #: RS2009-0378
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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