| Rafiq M Kutty, MD | |
|
7607 W Madison Ave, Forest Park, IL 60130-3513 | |
| (708) 366-7177 | |
| (708) 366-3301 |
| Full Name | Rafiq M Kutty |
|---|---|
| Gender | Male |
| Speciality | Pulmonary Disease |
| Experience | 25 Years |
| Location | 7607 W Madison Ave, Forest Park, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114112612 | NPI | - | NPPES |
| 202964 | Other | IL | MEDICARE |
| 036111644 | Medicaid | IL | |
| 31601838 | Other | IL | BLUE CROSS BLUE SHIELD |
| 202963 | Other | IL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0200X | Internal Medicine - Critical Care Medicine | 036111644 (Illinois) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | 036-111644 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Advocate Condell Medical Center | Libertyville, IL | Hospital |
| Presence Saint Francis Hospital | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pulmonary Medicine Associates Sc | 3476597881 | 11 |
| Entity Name | Pulmonary Medicine Associates Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376576785 PECOS PAC ID: 3476597881 Enrollment ID: O20050616000572 |
| Mailing Address | Practice Location Address |
|---|---|
| Rafiq M Kutty, MD 675 W North Ave, Melrose Park, IL 60160-1634 Ph: (708) 366-7177 | Rafiq M Kutty, MD 7607 W Madison Ave, Forest Park, IL 60130-3513 Ph: (708) 366-7177 |
Dr. Hemant Puri, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 7435 Madison St, Forest Park, IL 60130 Phone: 708-771-8000 | |
Dr. Anna Mae Gigi Lee, M.D. Pulmonary Disease Medicare: Not Enrolled in Medicare Practice Location: 7556 Jackson Blvd, Forest Park, IL 60130 Phone: 708-836-8610 | |
Dr. Susan G Marantz, M.D. Pulmonary Disease Medicare: Medicare Enrolled Practice Location: 7556 Jackson Blvd, Forest Park, IL 60130 Phone: 708-467-5000 Fax: 708-467-1963 | |
Dr. Beth Ginsburg, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 7607 Madison St, Forest Park, IL 60130 Phone: 708-450-4557 Fax: 708-338-0200 |