Pulmonary & Critical Care Associates of Kankakee LTD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

PULMONARY & CRITICAL CARE ASSOCIATES OF KANKAKEE LTD

Practice address

19 Heritage Dr
Ste 103
Bourbonnais, IL 60914-1369

Phone

(815) 933-3814

Fax

(815) 933-3846

NPI assigned

Jul 4, 2006

Last updated

Jan 23, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ahamed V.P. Kutty, M.D.NPI 1881624054

Title

President

Phone

(815) 933-3814

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahamed V.P. Kutty, M.D.

  • Pulmonary Disease Physician
  • Bourbonnais, IL
  • NPI 1881624054
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390435200000",
    "number": "1033149208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 HERITAGE DR",
            "address_2": "STE 103",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141369",
            "telephone_number": "815-933-3814",
            "fax_number": "815-933-3846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 HERITAGE DR",
            "address_2": "STE 103",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609141369",
            "telephone_number": "815-933-3814",
            "fax_number": "815-933-3846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULMONARY & CRITICAL CARE ASSOCIATES OF KANKAKEE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-01-23",
        "status": "A",
        "authorized_official_last_name": "KUTTY",
        "authorized_official_first_name": "AHAMED",
        "authorized_official_middle_name": "V.P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-933-3814",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Haley Rose Radev
• Radiation Oncology of Kankakee
• Raffi Leblebijian
• Niveditha Rajagopalan, D.M.D.

• Pulmonary Disease Physician in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.