Individual
DR. KUMUD NIGAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6957 OLDE CREEK RD, SUITE #3400, ROCKFORD, IL 61114-7416
(815) 397-6276
(815) 397-2266
Mailing address
6957 OLDE CREEK RD, SUITE #3400, ROCKFORD, IL 61114-7416
(815) 397-6276
(815) 397-2266
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0010100540
BCBS
IL
01
—
20027734
PALMETTO
—
Enumeration date
09/20/2006
Last updated
02/15/2008
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