Individual
DR. H JOHNNY IBRAHIM KUTTAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3012 W FULLERTON AVE, CHICAGO, IL 60647-2808
(773) 384-3500
Mailing address
1090 KINGSDALE RD, HOFFMAN ESTATES, IL 60169-2377
(847) 971-8847
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
019027640
IL
Other
Enumeration date
05/25/2008
Last updated
05/25/2008
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