| Michael Jutovsky Md Llc | |
|
6326 N Lincoln Ave Chicago IL 60659-1204 | |
| (773) 463-4100 | |
| (773) 463-4102 |
| Full Name | Michael Jutovsky Md Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 6326 N Lincoln Ave, Chicago, Illinois |
| Authorized Official Name and Position | Michael H Jutovsky (PHYSICIAN) |
| Authorized Official Contact | 7734634100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Jutovsky Md Llc 6326 N Lincoln Ave Chicago IL 60659-1204 Ph: (773) 463-4100 | Michael Jutovsky Md Llc 6326 N Lincoln Ave Chicago IL 60659-1204 Ph: (773) 463-4100 |
| NPI Number | 1750463295 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 01/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750463295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036080157 (Illinois) | Secondary |
| 208M00000X | Hospitalist | 036080157 (Illinois) | Primary |
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