Healthcare Provider Details

I. General information

NPI: 1558491712
Provider Name (Legal Business Name): CHICAGO HEALTHCARE CENTERS SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 09/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 W NORTHWEST HWY
PALATINE IL
60067-2413
US

IV. Provider business mailing address

216 W NORTHWEST HWY
PALATINE IL
60067-2413
US

V. Phone/Fax

Practice location:
  • Phone: 847-776-5101
  • Fax: 847-776-5103
Mailing address:
  • Phone: 847-776-5101
  • Fax: 847-776-5103

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P2900X
TaxonomyPain Medicine (Psychiatry & Neurology) Physician
License Number36078457
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number38010799
License Number StateIL

VIII. Authorized Official

Name: DR. ADAM MICHAEL HUTTON
Title or Position: PRESIDENT
Credential: D.C.
Phone: 847-776-5101