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Individual

DR. JOHN C HOUCHINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
172212-1205
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04821
UUHSC
UT
01
1061
U HEALTH PLAN
UT
01
107005326101
IHC
UT
01
11249
DMBA
UT
05
122808100
WY
01
190475000
DEPT OF LABOR
UT
01
49934
PEHP
UT
05
7081524
WA
01
870564069HOU
EMIA
UT
01
PRA01489
MOLINA
UT
01
QM0000053151
ALTIUS
UT
05
XPY197122
CA
Enumeration date
07/06/2006
Last updated
05/26/2021
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