Individual
JIMMY N NKUTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1889 HERON VIEW WAY, ROUND LAKE, IL 60073-8131
(847) 812-0190
(847) 886-7033
Mailing address
1889 HERON VIEW WAY, ROUND LAKE, IL 60073-8131
(847) 812-0190
(847) 886-7033
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/15/2013
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