Individual
DR. LENNEY G. KIZHAKEPUNNUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2202 HARLEM RD, SUITE 200, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 654-5342
Mailing address
2202 HARLEM RD, SUITE 200, LOVES PARK, IL 61111-2754
(815) 877-4848
(815) 654-5342
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.130345
IL
207L00000X
Anesthesiology Physician
125-055883
IL
Other
Enumeration date
05/27/2009
Last updated
06/24/2022
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