Provider Demographics
NPI:1740267996
Name:HUTTER, LOREN W (MD)
Entity type:Individual
Prefix:DR
First Name:LOREN
Middle Name:W
Last Name:HUTTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 MIDDLEBURY LN
Mailing Address - Street 2:
Mailing Address - City:WILMETTE
Mailing Address - State:IL
Mailing Address - Zip Code:60091-1342
Mailing Address - Country:US
Mailing Address - Phone:847-256-3151
Mailing Address - Fax:
Practice Address - Street 1:1233 MIDDLEBURY LN
Practice Address - Street 2:
Practice Address - City:WILMETTE
Practice Address - State:IL
Practice Address - Zip Code:60091-1342
Practice Address - Country:US
Practice Address - Phone:847-256-3151
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-0058907207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology