Individual
KUTTOPPILLY N KRISHNANKUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 BIESTERFIELD ROAD, WIMMER MEDICAL PLAZA #203, ELK GROVE, IL 60007-7322
(847) 593-5420
(847) 956-5106
Mailing address
800 BIESTERFIELD ROAD, WIMMER MEDICAL PLAZA #203, ELK GROVE, IL 60007-7322
(847) 593-5420
(847) 956-5106
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036050301
IL
207RG0100X
Gastroenterology Physician
036050301
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050301
—
IL
Enumeration date
12/08/2006
Last updated
01/17/2013
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