Organization
METRO CARDIOVASCULAR CONSULTANTS, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALI KUTOM MD (PRESIDENT)
(708) 229-0300
Entity
Organization
Contact information
Practice address
9115 S CICERO AVE, OAK LAWN, IL 60453-1895
(708) 229-0300
(708) 229-0303
Mailing address
9115 S CICERO AVE, OAK LAWN, IL 60453-1895
(708) 229-0300
(708) 229-0303
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
36076049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036076049
—
IL
01
—
1605276
BCBS
IL
05
—
200094400A
—
IN
01
—
514882742002
BCBS INDIANA
IN
Enumeration date
08/27/2007
Last updated
09/13/2011
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