Individual
KEVIN M KOUTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
950 N YORK RD STE 109, HINSDALE, IL 60521-8608
(630) 528-2000
Mailing address
950 N YORK RD STE 109, HINSDALE, IL 60521-8608
(630) 528-2000
(630) 552-3128
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036089628
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036089628
LICENSE
IL
05
—
036089628
—
IL
Enumeration date
07/30/2006
Last updated
10/27/2020
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