Provider Demographics
NPI:1558491712
Name:CHICAGO HEALTHCARE CENTERS SC
Entity Type:Organization
Organization Name:CHICAGO HEALTHCARE CENTERS SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ADAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HUTTON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:847-776-5101
Mailing Address - Street 1:216 W NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-2413
Mailing Address - Country:US
Mailing Address - Phone:847-776-5101
Mailing Address - Fax:847-776-5103
Practice Address - Street 1:216 W NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-2413
Practice Address - Country:US
Practice Address - Phone:847-776-5101
Practice Address - Fax:847-776-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-06
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL38010799111NR0400X
IL360784572084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU93589Medicare UPIN
IL214752Medicare PIN