Organization
PULMONARY & CRITICAL CARE ASSOCIATES OF KANKAKEE LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHAMED V.P. KUTTY M.D. (PRESIDENT)
(815) 933-3814
Entity
Organization
Contact information
Practice address
19 HERITAGE DR, STE 103, BOURBONNAIS, IL 60914-1369
(815) 933-3814
(815) 933-3846
Mailing address
19 HERITAGE DR, STE 103, BOURBONNAIS, IL 60914-1369
(815) 933-3814
(815) 933-3846
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
07/04/2006
Last updated
01/23/2014
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