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Individual

VIJAY KUMAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
303 E ARMY TRAIL RD, SUITE 405, BLOOMINGDALE, IL 60108-2169
(630) 307-0100
(630) 307-0111
Mailing address
777 OAKMONT LN, SUITE 1600, WESTMONT, IL 60559-5511
(630) 789-2550
(630) 789-2571

Taxonomy

Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
036061023
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01618378
BCBS PROVIDER ID
IL
05
036061023
IL
01
060009558
MEDICARE -- RR
IL
01
060020112
MEDICARE -- RR
IL
01
2233084
BCBS PROVIDER ID
IL
01
P00395946
RAILROAD MEDICARE
IL
Enumeration date
07/26/2006
Last updated
11/17/2014
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