Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Maice Kutom, PHARMD

Individual provider Pharmacist · NPI 1982224184

Dr. Maice Kutom, PHARMD is a Pharmacist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2020
What do these letters mean?
PHARMD — Doctor of Pharmacy
The professional degree required to practise as a pharmacist in the United States.

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Practice location Address checks out

4254 W 55th St Ste 101
Chicago, IL 60632-4642
Phone: (773) 582-2660
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051300846 (IL)

Record details

NPI number1982224184
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHARMD
Sole proprietorYes
NPI enumeratedApril 17, 2020
Last updated in NPPESApril 18, 2020
Certification dateApril 18, 2020

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