Kutom, Ali

Kutom, Ali is an individual health care provider with primary practice located at 9115 S Cicero Ave , Oak Lawn IL 60453-1895. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Kutom, Ali can be contacted via phone (708) 229-0300.

Contact Information

Primary practice address
9115 S Cicero Ave Oak Lawn IL 60453-1895
Phone: (708) 229-0300
Fax: (708) 229-0303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036076049 Illinois

Profile Details

NPI number 1316912918
LBN Legal business name Kutom, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Aug 16th, 2011 - about 14 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1316912918 NPPES
Indiana MEDICAID 200094400A
Indiana MEDICAID 036076049
Indiana Other 1605276

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