# TODD S. KIRK, MDSC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083891600
- **Authorized official:** DR. TODD S KIRK M.D. (PHYSICIAN)
- **Authorized official phone:** (708) 857-7990

## Contact information

- **Practice address:** 13303 S RIDGELAND AVE, SUITE B, PALOS HEIGHTS, IL 60463-1815
- **Practice address phone:** (708) 857-7990
- **Practice address fax:** (708) 857-7998
- **Mailing address:** 13303 S RIDGELAND AVE, SUITE B, PALOS HEIGHTS, IL 60463-1815
- **Mailing address phone:** (708) 857-7990
- **Mailing address fax:** (708) 857-7998

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 036068842 | IL | Yes |

## Other

- **Enumeration date:** 01/25/2008
- **Last updated:** 05/14/2008