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Individual

DR. ADARSH A KUMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2040 TIMBERBROOKE DRIVE, SPRINGFIELD, IL 62702
(217) 787-2511
(217) 787-2513
Mailing address
2040 TIMBERBROOKE DRIVE, DERMATOLOGY & SKIN SURGERY, SPRINGFIELD, IL 62702
(217) 787-2511
(217) 787-2513

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
3644781
IL
207ND0900X
Dermatopathology Physician
036044781
IL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
036044781
IL
207NP0225X
Pediatric Dermatology Physician
036044781
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036044781
IL
Enumeration date
09/14/2006
Last updated
01/06/2023
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