Koutlas, Nathaniel Theodore

Koutlas, Nathaniel Theodore is an sole proprietor health care provider with primary practice located at 9650 Gross Point Rd , Skokie IL 60076-5080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery, which is considered as his primary health care specialty. Koutlas, Nathaniel Theodore can be contacted via phone (847) 866-7846.

Contact Information

Primary practice address
9650 Gross Point Rd Skokie IL 60076-5080
Phone: (847) 866-7846
Fax: (224) 251-2905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 036169038 Illinois

Profile Details

NPI number 1609439694
LBN Legal business name Koutlas, Nathaniel Theodore
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 16th, 2019
Last updated Apr 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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