Healthcare Provider Details

I. General information

NPI: 1124811609
Provider Name (Legal Business Name): KUTURE MED LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2025
Last Update Date: 05/27/2025
Certification Date: 05/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5740 S EMERALD AVE APT 2
CHICAGO IL
60621-2979
US

IV. Provider business mailing address

33 E 159TH ST
SOUTH HOLLAND IL
60473-1404
US

V. Phone/Fax

Practice location:
  • Phone: 678-595-7247
  • Fax:
Mailing address:
  • Phone: 872-300-9621
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY WILLIAMS
Title or Position: OWNER
Credential:
Phone: 872-300-9621