Individual
DR. JERRY EDWARD HUTCHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
836 MAPLETON AVE, OAK PARK, IL 60302-1402
(708) 848-8865
Mailing address
836 MAPLETON AVE, OAK PARK, IL 60302-1402
(708) 848-8865
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623241
BLUE CROSS BLUE SHIELD IL
IL
Enumeration date
03/19/2007
Last updated
07/08/2007
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