Provider Demographics
NPI:1073754743
Name:DUTKA, AARON C (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:C
Last Name:DUTKA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:657 E GOLF RD
Mailing Address - Street 2:SUITE 301
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60005-4071
Mailing Address - Country:US
Mailing Address - Phone:847-439-9300
Mailing Address - Fax:847-439-9301
Practice Address - Street 1:657 E GOLF RD
Practice Address - Street 2:SUITE 301
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-4071
Practice Address - Country:US
Practice Address - Phone:847-439-9300
Practice Address - Fax:847-439-9301
Is Sole Proprietor?:No
Enumeration Date:2009-03-10
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011246111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor