Provider Demographics
NPI:1922191477
Name:KITAPCI, N HALUK (MD)
Entity Type:Individual
Prefix:
First Name:N
Middle Name:HALUK
Last Name:KITAPCI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2555 W LINCOLN HWY
Mailing Address - Street 2:SUITE 215
Mailing Address - City:OLYMPIA FIELDS
Mailing Address - State:IL
Mailing Address - Zip Code:60461-1939
Mailing Address - Country:US
Mailing Address - Phone:708-748-1600
Mailing Address - Fax:708-748-6013
Practice Address - Street 1:3330 W 177TH ST
Practice Address - Street 2:SUITE 3E
Practice Address - City:HAZEL CREST
Practice Address - State:IL
Practice Address - Zip Code:60429-2184
Practice Address - Country:US
Practice Address - Phone:708-798-4500
Practice Address - Fax:708-798-4586
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036060053207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0031600431OtherBCBS
IL036060053Medicaid
IL110015875OtherRAILROAD MC
ILC45706Medicare UPIN
IL0031600431OtherBCBS