Healthcare Provider Details

I. General information

NPI: 1750365490
Provider Name (Legal Business Name): JOSEPH L KUT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 N WILKE RD SUITE 160
ARLINGTON HEIGHTS IL
60004
US

IV. Provider business mailing address

7300 W COLLEGE DR
PALOS HEIGHTS IL
60463-1152
US

V. Phone/Fax

Practice location:
  • Phone: 708-448-8470
  • Fax: 708-448-9651
Mailing address:
  • Phone: 708-448-8470
  • Fax: 708-448-9651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: