IndividualActive
Rafiq Kutty, MD
NPI 1114112612 · Pulmonary Disease Physician · Forest Park, IL
Provider details
- NPI number
- 1114112612
- Entity type
- Individual
- Primary specialty
- Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036111644 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
7607 W Madison Ave
Forest Park, IL 60130-3513
Phone: (708) 366-7177
Fax: (708) 366-3301
Approximate (ZIP-level) locationGet directions
Mailing address
675 W North Ave
Melrose Park, IL 60160-1634
Registry dates
- Enumerated
- 2007-09-09
- Last updated
- 2012-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.