MEDICARE: HUTCHISON ENTERPRISES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency	3000242	IL

General Provider Information

NPI Number	:	1306398623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUTCHISON ENTERPRISES, INC

Provider Business Mailing Address
First Line	:	450 E HIGGINS RD
Second Line	:	STE 102
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-1406
Country	:	US
Telephone Number	:	847-690-9825
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 E HIGGINS RD
Second Line	:	STE 102
City	:	ELK GROVE VILLAGE
State	:	IL
Zip	:	60007-1406
Country	:	US
Telephone Number	:	847-690-9825
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. KELLY HUTCHISON
Credential	:
Telephone Number	:	847-690-9825

Provider Enumeration Date	:	11/03/2016
Last Update Date	:	11/03/2016

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Directions to “HUTCHISON ENTERPRISES, INC ” Practice Location

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