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Organization
NEPTUNE
Active
Organization
NEPTUNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMAR DINESH (DIRECTOR)
(312) 857-5382
Entity
Organization
Contact information
Practice address
2189 N IL ROUTE 83 STE 220, ROUND LAKE BEACH, IL 60073-4906
(312) 857-5382
Mailing address
2189 N IL ROUTE 83 STE 220, ROUND LAKE BEACH, IL 60073-4906
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11O49IK
ZZ
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
02/21/2016
Last updated
05/09/2016
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