MEDICARE: CHICAGO HEALTHCARE CENTERS SC

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	2084P2900X	Pain Medicine (Psychiatry & Neurology) Physician	36078457	IL
2	111NR0400X	Rehabilitation Chiropractor	38010799	IL

General Provider Information

NPI Number	:	1558491712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICAGO HEALTHCARE CENTERS SC

Provider Business Mailing Address
First Line	:	216 W NORTHWEST HWY
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-2413
Country	:	US
Telephone Number	:	847-776-5101
Fax Number	:	847-776-5103

Provider Business Practice Location Address
First Line	:	216 W NORTHWEST HWY
Second Line	:
City	:	PALATINE
State	:	IL
Zip	:	60067-2413
Country	:	US
Telephone Number	:	847-776-5101
Fax Number	:	847-776-5103

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ADAM MICHAEL HUTTON
Credential	:	D.C.
Telephone Number	:	847-776-5101

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	09/25/2013

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