Individual
DR. AHAMED V.P. KUTTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 HERITAGE DR, STE 105, BOURBONNAIS, IL 60914-1369
(815) 933-3814
(815) 933-3846
Mailing address
19 HERITAGE DR, STE 105, BOURBONNAIS, IL 60914-1369
(815) 933-3814
(815) 933-3846
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0030360527671
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036052767
—
IL
Enumeration date
07/04/2006
Last updated
07/08/2007
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