Organization
MICHAEL JUTOVSKY MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H JUTOVSKY M.D. (PHYSICIAN)
(773) 463-4100
Entity
Organization
Contact information
Practice address
6326 N LINCOLN AVE, CHICAGO, IL 60659-1204
(773) 463-4100
(773) 463-4102
Mailing address
6326 N LINCOLN AVE, CHICAGO, IL 60659-1204
(773) 463-4100
(773) 463-4102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036080157
IL
208M00000X
Hospitalist Physician
Primary
036080157
IL
Other
Enumeration date
10/20/2006
Last updated
01/02/2013
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