Organization Active NPI

Michael Jutovsky MD LLC

  • Hospitalist Physician
  • Chicago, IL
National Provider Identifier
1750463295
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
036080157 Issued in IL
Legal business name
MICHAEL JUTOVSKY MD LLC
Practice address
6326 N Lincoln Ave
Chicago, IL 60659-1204
Phone
(773) 463-4100
Fax
(773) 463-4102
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael H Jutovsky, M.D.
Title
Physician
Phone
(773) 463-4100

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 036080157 IL
Hospitalist PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208M00000X 036080157 IL Primary

Addresses

Primary practice location

6326 N Lincoln Ave
Chicago, IL 60659-1204

Mailing address

6326 N Lincoln Ave
Chicago, IL 60659-1204
Phone (773) 463-4100

National Provider Directory

National Provider Directory

Locations

6326 N Lincoln Ave
Chicago, IL 60659
Phone (773) 463-4100

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1750463295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6326 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591204",
            "telephone_number": "773-463-4100",
            "fax_number": "773-463-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6326 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606591204",
            "telephone_number": "773-463-4100",
            "fax_number": "773-463-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL JUTOVSKY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "JUTOVSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-463-4100",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036080157",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036080157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.