Organization Active NPI

Victoria Kut MD LTD

  • Hematology & Oncology Physician
  • Lake Forest, IL
National Provider Identifier
1649460767
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
VICTORIA KUT MD LTD
Practice address
660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone
(847) 977-1212
Fax
(847) 342-0378
NPI assigned
Jul 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Victoria Kut, MD
Title
Director
Phone
(847) 977-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X IL Primary

Addresses

Primary practice location

660 N Westmoreland Rd
Lake Forest, IL 60045-1659

Mailing address

1255 Winwood Dr
Lake Forest, IL 60045-1160
Phone (847) 977-1212

Other identifiers 1

IdentifierTypeStateIssuer
4932738OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

3800 N Wilke Rd
Arlington Hts, IL 60004
Phone (847) 670-8544

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1649460767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 WINWOOD DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451160",
            "telephone_number": "847-977-1212",
            "fax_number": "847-342-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 N WESTMORELAND RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451659",
            "telephone_number": "847-977-1212",
            "fax_number": "847-342-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA KUT MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "KUT",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-977-1212",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4932738",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; 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.