Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SPROUT PEDIATRIC DENTISTRY
Active
Organization
SPROUT PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHNNY I KUTTAB (DENTIST)
(773) 377-5658
Entity
Organization
Contact information
Practice address
6036 NORTH NORTHWEST HIGHWAY, CHICAGO, IL 60631
(773) 377-5658
(773) 409-4663
Mailing address
6036 N. NORTHWEST HIGWAY, CHICAGO, IL 60631
(773) 377-5658
(773) 409-4663
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
021002373
IL
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up