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NPI Code Detail

MEDICARE: DR. VERA KUTTAB PHARM D

MEDICARE: DR. VERA KUTTAB PHARM D
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
1183500000XPharmacist051295605IL

General Provider Information

NPI Number : 1851997670
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERA KUTTAB PHARM D
Provider Business Mailing Address
First Line : 101 ASBURY AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3801
Country : US
Telephone Number : 847-905-3300
Fax Number :
Provider Business Practice Location Address
First Line : 101 ASBURY AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3801
Country : US
Telephone Number : 847-905-3300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2020
Last Update Date : 12/07/2020

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Directions to “ DR. VERA KUTTAB PHARM D” Practice Location

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