Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 38010799 | IL |
NPI | 1295743573 |
---|---|
Provider Name | Dr. Adam M Hutton |
First Address | Palatine, IL 60067-2413 |
Second Address | Palatine, IL 60067-2413 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 25/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0001636642 | BCBS OF ILLINOIS (01) | IL |
AZ0197150 | BLUE CROSS/ BLUE SHIELD (01) | AZ |
U93589 | (02) | AZ |