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Individual

DR. RICHARD S TUTTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3030 W SALT CREEK LN, SUITE 100, ARLINGTON HTS, IL 60005-5001
(847) 870-4200
(847) 870-0059
Mailing address
3030 W SALT CREEK LN, SUITE 100, ARLINGTON HTS, IL 60005-5001
(847) 870-4200
(847) 870-0059

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036088155
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01634499
BCBS
IL
05
0360881551
IL
Enumeration date
11/10/2005
Last updated
06/11/2014
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