Organization
VICTORIA KUT MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA KUT MD (DIRECTOR)
(847) 977-1212
Entity
Organization
Contact information
Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 977-1212
(847) 342-0378
Mailing address
1255 WINWOOD DR, LAKE FOREST, IL 60045-1160
(847) 977-1212
(847) 342-0378
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4932738
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/25/2007
Last updated
02/13/2008
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