Maice Kutom, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

051300846 Issued in IL

Practice address

4254 W 55TH St Ste 101
Chicago, IL 60632-4642

Phone

(773) 582-2660

NPI assigned

Apr 17, 2020

Last updated

Sep 29, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ibtisam Inc

  dba elsdon medical pharmacy

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1184625410
  NPD

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1982224184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4254 W 55TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324642",
            "telephone_number": "773-582-2660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4254 W 55TH ST STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324642",
            "telephone_number": "773-582-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTOM",
        "first_name": "MAICE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-17",
        "last_updated": "2026-09-29",
        "certification_date": "2020-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051300846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maicekutom@gmail.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4254 W 55th St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606324642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marissa Kusy-Leavitt
• Katarzyna Dorota Kusz, D.D.S.
• Eugene Kutasevich, PSYD
• Aaron Matthew Kutinsky, DDS
• Elizabeth L Kuto, R.D.
• Konrad Sebastian Kutrzuba
• H Johnny Ibrahim Kuttab, D.D.S.
• Vishnu Kuttappan, DO
• Kuture Med LLC
• Olutunmike Kuyoro, MD

• Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.