Individual
DR. THEODORE KYPREOS KOUTOUZIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
211 E ONTARIO ST, CHICAGO, IL 60611-3468
(312) 694-7000
Mailing address
211 E ONTARIO, CHICAGO, IL 60611
(312) 694-7000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-102893
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13032
BCBS
FL
05
—
264218200
—
FL
01
—
930122248
RRMCR
FL
Enumeration date
01/05/2006
Last updated
10/10/2017
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