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1659790137
KELVIN VISUTH
OAK LAWN, IL
NPI
1659790137
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: IL 036152248)
Enumeration Date
2014-04-10
Last Update Date
2021-12-14
Business Address
KELVIN VISUTH M.D.
4440 W 95TH ST
OAK LAWN, IL 60453-2600
Phone number: 708-684-6949
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Mailing Address
KELVIN VISUTH M.D.
14069 S 95TH AVE
ORLAND PARK, IL 60462-1205
Phone number: 219-713-8646
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