Provider Demographics
NPI:1760730915
Name:HUTCHINSON, JEAN R (LCSW)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:R
Last Name:HUTCHINSON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1625 SHERIDAN RD
Mailing Address - Street 2:507
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1824
Mailing Address - Country:US
Mailing Address - Phone:847-409-2866
Mailing Address - Fax:
Practice Address - Street 1:875 N MICHIGAN AVE
Practice Address - Street 2:31ST FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-1803
Practice Address - Country:US
Practice Address - Phone:312-544-0551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-20
Last Update Date:2012-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490093831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical