Individual ProviderSubhash GuttiSurgeryAllopathic & Osteopathic PhysiciansPractice Address600 S Paulina St, Chicago, IL 60612-3806(312) 942-5500PECOS EnrollmentBased on the most recent information from CMS, provider Subhash Gutti is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1760132963Provider TypeIndividualFull NameGutti, SubhashCredentialMDGenderMaleSole ProprietorNoEnumeration Date3/28/2022Last Updated7/11/2023Contact InformationPractice LocationPractice Address600 S Paulina St, Chicago, IL 60612-3806Phone(312) 942-5500FaxUnlisted FaxMailing LocationMailing Address600 S Paulina St, Chicago, IL 60612-3806PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208600000XPrimaryDescriptionSurgeryAllopathic & Osteopathic PhysiciansLicense125082203IllinoisCode2085R0204XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense125.082203Illinois