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NPI Code Detail

MEDICARE: ANTOINETTE KITCH DO

MEDICARE: ANTOINETTE KITCH DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207V00000XObstetrics & Gynecology Physician036.161097IL
2207V00000XObstetrics & Gynecology Physician14249440-1204UT

General Provider Information

NPI Number : 1033678800
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTOINETTE KITCH DO
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number : 847-390-5900
Fax Number :
Provider Business Practice Location Address
First Line : 9555 S 52ND AVE STE E
Second Line :
City : OAK LAWN
State : IL
Zip : 60453-3054
Country : US
Telephone Number : 708-423-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2019
Last Update Date : 12/02/2025

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Directions to “ ANTOINETTE KITCH DO” Practice Location

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