Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jerry M Mutua, M.D.

Family Medicine Physician in Chicago, IL · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1184686149

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Registry record

Entity type Individual (Type 1)

Name Dr. Jerry M Mutua

Credential M.D.

Sex Male

Practice address 326 W 64th St, St. Bernards Hospital, Chicago, IL, 60621

Phone (773) 994-5502

Fax (773) 994-7405

Enumeration date Apr 5, 2006

Last updated in NPPES Feb 25, 2009

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 036062092 (IL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
207Q0000X	Other	IL	TAXONOMY
036062092	Medicaid	IL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Is this the official NPI registry?

No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

What specialty is Jerry Mutua?

Jerry Mutua is registered in NPPES with the primary taxonomy of Family Medicine Physician. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-02-25.