Kutty, Rafiq M
Kutty, Rafiq M is an individual health care provider with primary practice located at 7607 W Madison Ave , Forest Park IL 60130-3513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kutty, Rafiq M can be contacted via phone (708) 366-7177.Contact Information
Primary practice address
7607 W Madison Ave
Forest Park IL 60130-3513
Phone: (708) 366-7177
Fax: (708) 366-3301
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036111644 | Illinois |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 036-111644 | Illinois |
Profile Details
| NPI number | 1114112612 |
|---|---|
| LBN Legal business name | Kutty, Rafiq M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 9th, 2007 |
| Last updated | Jan 27th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114112612 | NPPES |
| Illinois | Other | 202964 | MEDICARE |
| Illinois | MEDICAID | 036111644 | MEDICARE |
| Illinois | Other | 31601838 | MEDICARE |
| Illinois | Other | 202963 | MEDICARE |
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