Healthcare Provider Details

I. General information

NPI: 1184036451
Provider Name (Legal Business Name): APRIL MARIE HUTTER D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1138 W JEFFERSON ST
SHOREWOOD IL
60404-0703
US

IV. Provider business mailing address

1138 W JEFFERSON ST
SHOREWOOD IL
60404-0703
US

V. Phone/Fax

Practice location:
  • Phone: 815-247-4944
  • Fax: 815-744-2255
Mailing address:
  • Phone: 815-247-4944
  • Fax: 815-744-2255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number32810
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number038.013157
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: