Provider Demographics
NPI:1700053352
Name:ZUBI-KUTZ, NADIA (PHARM D)
Entity Type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:ZUBI-KUTZ
Suffix:
Gender:F
Credentials:PHARM D
Other - Prefix:
Other - First Name:NADIA
Other - Middle Name:
Other - Last Name:ZUBI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHARM D
Mailing Address - Street 1:18201 S SPRING MEADOWS DR
Mailing Address - Street 2:
Mailing Address - City:MOKENA
Mailing Address - State:IL
Mailing Address - Zip Code:60448-9001
Mailing Address - Country:US
Mailing Address - Phone:708-479-6904
Mailing Address - Fax:708-460-5342
Practice Address - Street 1:9352 W 159TH ST
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-5541
Practice Address - Country:US
Practice Address - Phone:708-479-6904
Practice Address - Fax:708-460-5342
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0510393811835P0018X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1835P0018XPharmacy Service ProvidersPharmacistPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist