Koutlas, Nathaniel Theodore
Koutlas, Nathaniel Theodore is an sole proprietor health care provider with primary practice located at 9650 Gross Point Rd , Skokie IL 60076-5080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Koutlas, Nathaniel Theodore can be contacted via phone (847) 866-7846.Contact Information
Primary practice address
9650 Gross Point Rd
Skokie IL 60076-5080
Phone: (847) 866-7846
Fax: (224) 251-2905
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery | 207XS0114X | 036169038 | Illinois |
Profile Details
NPI number | 1609439694 |
---|---|
LBN Legal business name | Koutlas, Nathaniel Theodore |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 16th, 2019 |
Last updated | Apr 29th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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