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Individual

DR. SAMUEL L HUTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-5324
(217) 544-6464
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-139960
IL

Other

Enumeration date
07/03/2011
Last updated
10/23/2023
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