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1609439694
NATHANIEL THEODORE KOUTLAS
SKOKIE, IL
NPI
1609439694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery
(Licence: IL 036169038)
Enumeration Date
2019-04-16
Last Update Date
2024-04-29
Business Address
NATHANIEL THEODORE KOUTLAS MD
9650 GROSS POINT RD
SKOKIE, IL 60076-5080
Phone number: 847-866-7846
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Mailing Address
NATHANIEL THEODORE KOUTLAS MD
9650 GROSS POINT RD
SKOKIE, IL 60076-5080
Phone number: 847-866-7846
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